Apply for media accreditation at the GFN 2021
This form is ONLY for media representatives who want to apply for a media pass for the Global Forum on Nicotine in Warsaw from 17 - 18 June 2021. If you wish to attend the conference and are not a representative of a media outlet, please visit
https://gfn.events
* Required
Email address
*
Your email
First name
*
Your answer
Last Name
*
Your answer
Media type
*
Choose your main area of work
Choose
TV
Radio
Agency
Written press
Website
Photography
Other
Website
*
Please insert the URL of your company or media outlet's website.
Your answer
Country of operation
*
Please tell us the main country where your work is published or broadcast.
Your answer
Business telephone number
*
Include country code
Your answer
Mobile/cellphone number
*
Include country code
Your answer
Have you attended the GFN previously?
*
Yes
No
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
