2017 Queenscliff Music Festival Media Accreditation
Please fill in the fields below providing all relevant information as requested.

Applications close Tuesday 31st October @ 5pm.

Media Organisation/Company Name
If Individual/Freelancer, put Full Name and Role/Title. eg Henri Cartier-Bresson, Photographer
Your answer
Main Applicant First Name
Your answer
Main Applicant Last Name
Your answer
Email Address
Your answer
Contact Number
Mobile phone preferred. Used for accreditation purposes and issues over event weekend
Your answer
Reason for Accreditation
eg Major Print/Radio/TV organisation, QMF associated Sponsor/Media Partner, Previous Reviewer, Bona Fide Jounalist/Freelancer Assignment, Videographer, Blogger etc
Your answer
Equipment
Will you be bringing professional video/camera/sound recording equipment into the festival
Additional Representative Name 1 (First Name, Surname, Role)
If applying as organisation, list additional representative names here. If name unknown, put position/role
Your answer
Additional Representative Name 2 (First Name, Surname, Role)
Your answer
Additional Representative Name 3 (First Name, Surname, Role)
Your answer
Additional Representative Name 4 (First Name, Surname, Role)
Your answer
Additional Representative Name 5 (First Name, Surname, Role)
Your answer
Additional Comments
Requests/additional pass details/further information
Your answer
Accreditation Process
Media passes are not guaranteed. This is an application process. All applicants will be notified either way once applications are recieved. Approved media will be contacted early November regarding accreditation, access etc.

Any enquiries regarding media for the Festival, please contact
Tilly Morris
Penney & Logan PR
Ph: 0418 582 812
E: tilly@penneyandlogan.com.au

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