Atlanta magazine Distribution Form

Your Name*
First Last
Your Email*
Your Company/Organization Name*
Who packages should be addressed to*
I.e., "ATTN: John Doe"
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How many magazines would you like sent for distribution?*
- 50
- 100
- 150
- 200
Any additional instructions?