Name:
I am: A youth
An organization serving youth

Email Address:
Address:
Please tell us about the zine you'd like to create:

What do you want your finished zine to look like? (Check everything that applies): All black and white (photocopied)
Some color pages
Full color
Black and white on color paper
Half size (5.5" x 8.5")
Full size (8.5" x 11")
Legal half size (7" x 8.5")
Quarter size (4.25" x 2.75")
Less than 10 pages
10-30 pages
30-100 pages
Unsure

What topics do you want to include in your zine? Local art
Local music
Writing or poetry
Youth issues (school, jobs, autonomy, etc.)
Class issues (poverty, homelessness, inequality)
Racial and ethnic issues
Gender and/or sexuality
Rural Maine
Military and war
Anarchism
Socialism/radical leftist
Mental health
Other

How many copies do you wish to produce? 0-10
11-50
51-100
101-200
200-500
500+


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