10th Annual Florida Entertainment Summit Media Registration

Texas Entertainment Summit

247 SW 8th Street, 369

Miami, FL 33130

Phone: 305-851-2887

Would Like To Cover FESummit In:

Full Name Government Name*

PrefixFirst NameMiddle NameLast NameSuffix

When picking up credentials, please be able to present a business card, and government issued picture ID, and contact information for your assignment editor should we need it to validate your credentials before issuing you the credentials. (Your registration will be void if you use an alias (No AKA, performance name, DJ Name, etc in this area)

Birth Date*

MonthDayYear

Age*

Gender

Media Outlet*

Title*

E-mail*

Direct/Cell #*

Area CodePhone Number

Work #*

Area CodePhone Number

Publication Type*

Print Media Provide Frequency*

TV Media Network & Call Letters*

Program Name:

Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Other - Please use this space to include any additional information we need to know such as organizations you belong to, etc

If you're interested in becoming a media partner, please summarize your pre-publicity and post coverage plans

Website/Blog Address*

Hits Per Month*

Number of Credentials*

Additional Media Credential Requested For:*

PrefixFirst NameMiddle NameLast NameSuffix

If you are requesting more than (1) press credential please provide all the necessary information for members of your staff including the role in which they will assist in your media coverage (Name-Age). We will let you know if we need or will be expecting any additional information after we review your application for Florida Entertainment Summit credentials. Please make a point to pre-register. On-site registration will NOT be available. Should you attempt to obtain credentials on-site, we cannot guarantee you will qualify.

Role in Which Named Person Will Assist in Obtaining Your Media Coverage:*

How Did You Hear About This Event?*

Have you provided media coverage for FES before? If yes, number of times:*

Number of Times?

What is the best way of contacting you during the event?*

Please contact me about news and future events

Press registration is open to any member of the broadcast, print and Internet media who can prove they work for an organization or publication that covers music/entertainment and political media on a regular basis.

When picking up credentials, please be able to present business card, and government issued picture identification, contact information for your assignment editor (if not present) should we need it to validate your credentials before issuing you a pass.

Please note that marketing, public relations, advertising, consultant, sales, production companies, art directors, managers, publishers and other non-editorial professionals of media organizations are NOT eligible for media credentials.

If you have questions regarding your press registration, please forward an email to FES@FloridaEntertainmentSummit.com

We reserve the right to deny any applicant a press badge. Submitting the registration request does not automatically qualify you for a press badge.

See you at the 10th Annual Florida Entertainment Summit, we look forward to networking with you!

I have read and agree to the Terms of Service *

Yes

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