All questions marked by an asterisk are required
Event Name:
QJFA Manuscript Submission
  {xxx-xxx-xxxx}

 Manuscript Submission for Non-Subscribers ($100.00) 
 Manuscript Submission for Subscribers ($60.00) 
 Submission of Revised Manuscript for Subscribers ($50.00) 
 Submission of Revised Manuscript for Non-Subscribers ($90.00) 
 Submission and Subscription U.S. ($84.00) 
 Submission and Subscription outside U.S. ($97.00) 
 Additional Amount Due on Previous Submission ($40.00) 

Submission Type must match selection on submission form.