Media – Monthly & Alternative Publications

2019 Monthly and Alternative Publication Membership Application

Monthly and Alternative Publication Membership Form

Cost of Monthly and Alternative Publication Membership: $850 annually. Membership period is January to December of each year.

Your membership is conditional upon Board approval. Once Board approval has been received, we will send you an invoice for payment. You will be able to pay via check or credit card.

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Eight characters minimum One lowercase letter One uppercase letter One number One special character
Mailing Address *
Mailing Address
City
State/Province
Zip/Postal
Invoice Address
Invoice Address
City
State/Province
Zip/Postal
Include e-edition. Total number should either come from statement of ownership, a verified audit, or a press run report.
Average monthly unique visitors per month from previous year.
Number of columns X page depth; example 5 columns x 14 inches
Upload your rate card *
Maximum upload size: 134.22MB
Upload readership verification
Maximum upload size: 134.22MB
For legal publications, provide an annual Statement of Ownership (Postal Form 3526); non-legal pubs should provide print run report.
Is your organization owned by a group or business? *
Address of group ownership
Address of group ownership
City
State/Province
Zip/Postal

Staff Information

Please fill in information for all applicable positions. If you're a publisher who fills in for multiple positions, please just use check mark option to let us know.
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What additional role(s) does the publisher fill (if any)?
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Please list staff members with their email addresses that you would like to be included on the CPA's e-Editor mailing list.

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