Media Outlet:
*
Outlet Web Address:
*
Requested By:
*
Requester's Email:
*
Requester's Phone:
*
Editor/Producer Name:
*
Editor/Producer Email:
*
Editor/Producer Phone:
*
Media Type:
*
TV
Radio
Internet
Photography
Distribution Type:
*
Daily
Weekly
Monthly
Yearly
Circulation/
Broadcast Audience:(ex: 50,000)
*
EVENTS REQUESTED
Click here
for the Event Calendar
EVENT 1
Event 1:
*
Event 1 Date:
*
-
Month
-
Day
Year
Date Picker Icon
Attendee 1 First Name:
*
Attendee 1 Last Name:
*
Attendee 1 Position:
*
Attendee 1 Email Address:
*
Attendee 1 Request:
*
Photo pass
Concert/show reviewer ticket
Sporting event media credential
Attendee 2 First Name:
Attendee 2 Last Name:
Attendee 2 Position:
Attendee 2 Email Address:
Attendee 2 Request:
Photo pass
Concert/show reviewer ticket
Sporting event media credential
EVENT 2
Event 2:
Event 2 Date:
-
Month
-
Day
Year
Date Picker Icon
Attendee 1 First Name:
Attendee 1 Last Name:
Attendee 1 Position:
Attendee 1 Email Address:
Attendee 1 Request:
Photo pass
Concert/show reviewer ticket
Sporting event media credential
Attendee 2 First Name:
Attendee 2 Last Name:
Attendee 2 Position:
Attendee 2 Email Address:
Attendee 2 Request:
Photo pass
Concert/show reviewer ticket
Sporting event media credential
EVENT 3
Event 3:
Event 3 Date:
-
Month
-
Day
Year
Date Picker Icon
Attendee 1 First Name:
Attendee 1 Last Name:
Attendee 1 Position:
Attendee 1 Email Address:
Attendee 1 Request:
Photo pass
Concert/show reviewer ticket
Sporting event media credential
Attendee 2 First Name:
Attendee 2 Last Name:
Attendee 2 Position:
Attendee 2 Email Address:
Attendee 2 Request:
Photo pass
Concert/show reviewer ticket
Sporting event media credential
EVENT 4
Event 4:
Event 4 Date:
-
Month
-
Day
Year
Date Picker Icon
Attendee 1 First Name:
Attendee 1 Last Name:
Attendee 1 Position:
Attendee 1 Email Address:
Attendee 1 Request:
Photo pass
Concert/show reviewer ticket
Sporting event media credential
Attendee 2 First Name:
Attendee 2 Last Name:
Attendee 2 Position:
Attendee 2 Email Address:
Attendee 2 Request:
Photo pass
Concert/show reviewer ticket
Sporting event media credential
COVERAGE DETAILS
Do you have any additional needs?
We will notify you of the status of your request in the week leading up to the event.
Submit
Should be Empty: