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LiB 2018 Media Request Form
Please complete this form and contact
dperales@infamouspr.com
with any questions/concerns.
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* Indicates required question
FIRST NAME
*
Your answer
LAST NAME
*
Your answer
MEDIA PUBLICATION
*
Your answer
PUBLICATION URL
*
ex
www.infamouspr.com
Your answer
PUBLICATION EDITOR
*
Your answer
EDITOR EMAIL
*
Your answer
UNIQUE MONTHLY VIEWS
*
Your answer
NUMBER OF FACEBOOK LIKES
*
Your answer
NUMBER OF TWITTER FOLLOWERS
*
Your answer
EMAIL
*
Your answer
PHONE
*
(123) 456-7890
Your answer
PREVIEW COVERAGE LINK
*
Your answer
COVERAGE PROPOSED
*
ex. Daily onsite Coverage, Weekend Recap, Gallery, Interviews, etc
Your answer
NUMBER OF PRESS PASSES REQUESTED
*
1
2
Other:
REQUESTING PHOTO PASS?
*
YES
NO
EXAMPLES OF PHOTOGRAPHY (IF REQUESTING PHOTO PASS)
Your answer
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