2018 Adequan®/FEI North American Youth Championships Media Credential Form
Thank you for applying for a media credential for the 2018 Adequan®/FEI North American Youth Championships held on August 1-5, 2018.

Please fill out the following form and we will contact you regarding your accreditation. A separate form request for each person must be submitted. If you have questions, please email jwood@jumpmediallc.com.

By applying for and accepting a media credential, you agree that the pass will be used for media purposes only. Any photographers using a media pass may only sell their photos for media usage - photos cannot be sold or given away to exhibitors unless you are also a vendor.
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Last Name *
First Name *
Media Outlet Name *
Your Email Address *
Authorized By *
Media Outlet Mailing Address *
City *
State *
Zip Code *
Country
Media Outlet Phone Number
Your Cell Phone Number *
Media Outlet Website *
Do you need photography credentials? Yes/No *
Required
Expected Publication/Air Date *
What Days Will You Be At NAYC? *
Required
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This form was created inside of Jennifer Wood Media, Inc..