XY Magazine Foundation

!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> XY Magazine Foundation

ABOUT YOU -- THE PERSON FILLING IN THIS FORM:
Privacy: Contact info is only used to contact you re XY Editorial.
MY NAME CITY STATE
MY EMAIL (required)
MY CELLPHONE MY LANDPHONE
MY WEBSITE
MY GROUP/COMPANY/SCHOOL | if relevant
MAY WE LET THE PERSON KNOW WHO YOU ARE? YES | NO |

ABOUT THE PERSON YOU THINK WE SHOULD PHOTO OR INTERVIEW:
THEIR NAME CITY STATE
THEIR WEBSITES: 1 2
DO YOU KNOW THE PERSON? | NO | YES |
if yes, how do you know them?
DOES THE PERSON KNOW YOU SENT THIS IN? | YES | NO |

THAT PERSON'S CONTACT INFO | if appropriate
EMAIL
PHONE | if for a news interview
Privacy: Contact info is only used to contact them re B Editorial.

DESCRIBE THE PERSON YOU'RE SUGGESTING: | THEIR AGE
TELL US ABOUT THE PERSON.

WHY DO YOU THINK THEY SHOULD BE IN XY MAGAZINE?
WHAT DO YOU SUGGEST? | Check all that apply
XY should INTERVIEW or WRITE ABOUT this person.
This person should totally be a model.
HOW OR WHAT SHOULD WE PHOTOGRAPH THE PERSON DOING?
OTHER IDEAS:

PHOTOS OF THE PERSON (at least one photo is required)
PIC 1 PIC 2
PIC 3 | JPG FILES ONLY |
PHOTO DESCRIPTION
SOURCE OF THE PHOTOS:
The photos came from this website:
I took these photos myself.
or PHOTOGRAPHER'S NAME if known

THANKS COOL PERSON!

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