FOR YOUR RECORDS, PLEASE PRINT ONE COPY OF THIS COMPLETED FORM BEFORE PRESSING THE "DONE" BUTTON. If your journal is a print journal, mail a copy of this completed form along with FOUR copies of ONE issue of your affiliate's journal published between May 1 of the previous year and May of the year of the award to Lawrence Butti, 5856 214th Street, Bayside, NY 11365-1833.
NOTE: You may copy long responses from WORD or another word-processing program and paste them into the survey form.