AEQ Distribution Form

Name ________________________________

  ___Reviewer 10 points per one proper review

  ___Feature Editor 10 or 5 points per submission listed on one of the
           following three pages (the first KEYWORD is yours)
           1. TRACK-YOUR-SUBMISSION
           2. SUBMISSIONS SUSPENDED
           3. SUBMISSIONS SCHEDULED FOR PUBLICATION
                10 points when total is twelve or more submissions
                5 points when total is eleven or fewer submissions

  ___ Country Editor - same as Feature Editor above

  ___Graduate Student -- Editorial Intern/Assistant
           NO openings for 2014 or 2015
           ALL offers, made prior to 2014, are honored…

  ___Other point accumulation formula per terms in executed written agreement, MOU.

Method of Disbursement   ______________________ points earned
  ___ Subscription, start
           Spring/year ______ Summer/year ______ Fall/year ______ Winter/year ______
  ___ Single copy
           Spring/year ______    Summer/year ______ Fall/year ______    Winter/year ______
  ___ Monetary gift to favorite charity or organization
           Gift note to be added ____________________________________
  ___ Send it to me, I donate at my own discretion

PRINT RECIPIENT'S NAME AND ADDRESS

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NOTE: to assure prompt disbursement  
1. Send e-mail  to  academicexchange@yahoo.com to alert AEQ of sending via 
	postal mail this form to the address at the bottom of this page
2. When we receive your Form, we will verify  your  claim and
    	- will send you in five days or less email acknowledgement
	- will send you in ten days or less a postal letter 
	  with  requested disbursement 
3. Points earned are valid on a two year rolling period and 
    will lapse after two years from the date they are earned
4. Write submission numbers on the back of this form
Rapid Intellect - AEQ   PO Box 131,   Stuyvesant Falls, NY 12174   USA

June 2014 - be part of the experience