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CFR 45 Media Accreditation Request
Name (First & Last) *
Job Title *
Organization *
Address *
Phone *
Is the organization you named at the beginning of this form the publisher or broadcaster of your intended coverage? *
Editor / Producer's name *
Editor / Producer's email *
Editor / Producer's phone number *
In what mediums will your coverage be transmitted? Select all that apply. *
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Please indicate the target audience of your coverage *
What is the circulation / viewership / follower count of your coverage? *
Please indicate the reach / region of your coverage *
What days will you be covering CFR? *
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Please indicate the publishing deadline or air date of your coverage *
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What CFR events and stories do you plan to cover? *
Do you have any special interview requests we can assist you with?
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