PRESS ACCREDITATION FORM
MEDIA DETAILS
Media/Publication
Publishing Company
Company Address
City
Post Code
Country
Website
Distribution Coverage
Editorial Content
e.g. what kind of publication, content coverage, etc.
Nature of Business (tick all that apply)
Magazine
Global
Monthly
Newspaper
Regional
Weekly
Television
National
Daily
Radio
Local
Online publication
Agency
Other:
PERSONAL DETAILS
Title
Mr.
Mrs.
Ms.
First Name
Last Name
Position
Tel
Fax
Mobile
Email
Reference
Loadable file formats: .pdf, .jpg, .doc
Letter of Reference or Confirmation of Employent from the Publication
Photo
Loadable file formats: .jpg, .gif, .png (max. 250kb.)
Your Photo
Press Card
Loadable file formats: .jpg, .gif, .png (max. 250kb.)
A scanned picture of your press card
*
Required fields
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