this text will be replaced by the SWF.
Press Credentials Request
Media Credentials Application
Name
Media Outlet
Department
Address
City
State
Zip
Business Tel
Alt Phone
Fax
Email
Type of Credentials Requested
Type of Credentials
Print
Photographer
TV
Radio
Internet
I am requesting additional credentials for myslef and the following associates:
Additional Credentials
Additional Credentials
None
1
2
3
Name
(First, Last)
Role (reporter, photographer, etc)
Name
(First, Last)
Role (reporter, photographer, etc)
Name
(First, Last)
Role (reporter, photographer, etc)
Additional questions
or comments
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