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Regular contributor to:
Other information (max 50 words)
Application form to be listed in our online freelancers database
The price to appear in the online database at http://www.journalism.co.uk is only £50 for a 3 month listing 10% of the cost
of advertising in a trade journal. Please fill out this form and fax it to 01273 384291 or post to Mousetrap Media, 9-12 Middle
Street, Brighton BN1 1AL. Your details will then be posted up to our site and an invoice will be sent to you.
Title . . . . . . . First name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Last name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address 1: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address 2: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address 3: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .County/state . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Post/Zip code . . . . . . . . . . . . . . . . . . .
Country of residence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Telephone . . . . . . . . . . . . . . . . . . . . . . . . . Mobile . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Pager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Skill category (tick boxes as appropriate you can tick more than one):
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Broadcasters
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Designers
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Editors
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Feature writers
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Sub-editors
Specialism(s) (tick boxes as appropriate if your specialism is not available, use the `other information' box to describe it):
I understand that by submitting this form I am forming a contract with Mousetrap Media and am therefore committed to paying the
sum of £50 sterling for a three-month listing in the online freelancers database at www.journalism.co.uk. I also understand that,
while every opportunity will be given to me to correct any errors in my listing, Mousetrap Media will not accept any responsibility for
any losses, financial or otherwise, incurred from such errors should they arise. Mousetrap Media also reserves the right to refuse any
submission without explanation.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I agree to these terms and conditions: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ms
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