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AFRIMMA - Media Registration Form
Please complete this online form for media credential consideration. You will receive a response within 6-8 weeks regarding the status of your application.*Please note that request for credentials does not guarantee approval for coverage. You will be notified of approval to cover the event along with additional instructions for obtaining pass(es), media parking, etc. For more information related to media credentials, please e-mail media.afrimma@gmail.com
Email address *
What is the name of your media outlet?
Please provide the official name of your media outlet.
Your answer
Type of Media *
Applicant Name *
The name of the person applying on behalf of the outlet
Your answer
Applicant Title *
ex. Managing Director, Writer etc.
Your answer
Phone *
Your answer
E-Mail *
Your answer
Credential Request
Total # of Credentials Requested
Note: Maximum Credentials Awarded Per Media Outlet is 2 Credentials.
Circulation/ Broadcast Audience:(ex: 50,000) *
Your answer
Please list your media outlet's official website
Your answer
Please list all social media handles
Include the full URL | Example: www.facebook.com/afrimma
Your answer
Do you have any additional requests?
Your answer
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