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International Six Metre World Championship 2015 Media Accreditation Form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Job Title
*
Your answer
Media Title
*
Your answer
Media Type
*
Your answer
Media Frequency
*
Your answer
Circulation
*
Your answer
Where and When
*
Your answer
Kind of Coverage
*
Your answer
Which days would you like to go out on the media boat
*
Sat May 30
Sun May 31
Mon Jun 1
Tue June 2
Wed Jun 3
Thu Jun 4
Fri Jun 5 (spare day - may not race)
Press Boat Space Not Required
Required
Email address
*
Your answer
Mobile Telephone
*
Your answer
Office Telephone
*
Your answer
Address 1
*
Your answer
Address 2
Your answer
Address 3
Your answer
Town
*
Your answer
County/Region
*
Your answer
Postcode
*
Your answer
Country
*
Your answer
Website
*
Your answer
Comments
Your answer
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