2019 NICS mini-survey

Demographic Information

This section contains basic information about your organization. It will be used only to contact you with any responses that may need clarification and to categorize your responses if breakouts are used. NO INDIVIDUAL DATA WILL EVER BE RELEASED. THIS INFORMATION IS STRICTLY CONFIDENTIAL!

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Question Title

* 1. Please complete the following information. The circulation should be the same as reported in the NICS. Newspaper name and e-mail are required and the other fields are appreciated but optional.

Name:

Newspaper: *

City/Town:

State:

Email Address:

Circulation *