Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
E-mail
Date Broadcast or Published (Must be between Oct. 1, 2006 and Sept. 30, 2007)

Agricultural Media (published/produced for Agriculture industry audience)
Check the category you are entering:

Print Single Article
Print Series
Electronic (Video, TV broadcast, radio broadcast, website)
Editorial/Commentary

General Media (published/produced primarily for general, not only agricultural audiences)
Check the category you are entering:

Print Single Article
Print Series
Electronic (Video, TV broadcast, radio broadcast, website)
Editorial/Commentary

Photo - one award given in Agricultural or General media.

Photo submission

There is NO entry Fee
Deadline: Postmarked by October 1, 2007

Once you have filled out this form please print out.

Mail application & tear sheets to:
Jessica Chittenden, Journalism Award Chair
NYS Dept of Agriculture & Markets
10B Airline Drive
Albany, NY 12235

Questions?  Contact Jessica at (518) 457-3136  jessica.chittenden@agmkt.state.ny.us