Rooster Walk 10 Media Registration
Event Timing: May 24-27, 2018
Location: Pop's Farm, Martinsville, VA
Event Address: 675 Hobson Road, Martinsville, VA 24054
Contact us at jessicawilsonfreelance@gmail.com

Fill out the form below to be considered for a media and/ or photo pass to Rooster Walk 10.

Company Name *
Your answer
Name of Person Requesting Passes *
Your answer
Your Title *
Your answer
Website *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
What days will you attend? *
Required
Proposed Media Coverage *
Required
Previous Coverage
Your answer
Additional Notes
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How many Media Passes are you requesting? *
Need a Photo Pass? *
Names of People Requesting Media Passes for: *
Your answer
If this is your first time working with us, we will need to contact your editor for verification.
Editor's Phone
Your answer
Editor's Name
Your answer
Editor's Email
Your answer
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