High Point Market Design Bloggers Tour - Fall 2017 Qualification Form

Please fill in the form below. Submissions must be received by July 10, 2017 in order to be eligible for consideration.

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* 1. Contact Information

Name: *

Company: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Country: *

Email Address: *

Phone Number: *

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* 2. What is the URL of your blog?

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* 3. How long have you been blogging?

Less than 1 year

1 - 2 years

2 - 3 years

3 - 4 years

4 - 5 years

5 or more years

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* 4. How many blog posts do you publish each month?

0-4

5-8

9-12

12 or more

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* 5. How many people visit your blog each month?

0 - 10,000

10,000 - 24,999

25,000 - 49,999

50,000 - 99,999

More than 100,000

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* 6. How many followers do you have on each of the following social media channels?

	0 – 2,499	2,501 – 4,999	5,000 – 9,999	10,000 – 24,999	25,000 or more
Facebook	Facebook 0 – 2,499	Facebook 2,501 – 4,999	Facebook 5,000 – 9,999	Facebook 10,000 – 24,999	Facebook 25,000 or more
Twitter	Twitter 0 – 2,499	Twitter 2,501 – 4,999	Twitter 5,000 – 9,999	Twitter 10,000 – 24,999	Twitter 25,000 or more
Pinterest	Pinterest 0 – 2,499	Pinterest 2,501 – 4,999	Pinterest 5,000 – 9,999	Pinterest 10,000 – 24,999	Pinterest 25,000 or more
Instagram	Instagram 0 – 2,499	Instagram 2,501 – 4,999	Instagram 5,000 – 9,999	Instagram 10,000 – 24,999	Instagram 25,000 or more

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* 7. Please indicate your URL for each of the following social media channels:

Facebook

Twitter

Instagram

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* 8. Please list your area(s) of expertise:

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* 9. Please describe your target audience:

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* 10. Are you a contributing writer for other publications? (Or, do you write for other publications?)

Yes

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* 11. If so, please list:

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* 12. Are you able to attend High Point Market, beginning (times are approximate) 8:00am on Sunday, October 15th, through 5PM on Monday, October 16th?

Yes

Thank you for completing the qualification form! Qualified bloggers will be notified by August 5th if you have been selected to participate in the High Point Market Design Bloggers Tour for Fall Market 2017.