CLOSED
FIRST NAME *
LAST NAME *
MEDIA PUBLICATION *
PUBLICATION URL *
PUBLICATION EDITOR *
EDITOR EMAIL *
UNIQUE MONTHLY VIEWS *
NUMBER OF FACEBOOK LIKES *
NUMBER OF TWITTER FOLLOWERS *
EMAIL *
PHONE *
(123) 456-7890
PREVIEW COVERAGE LINK *
COVERAGE PROPOSED *
ex. Daily onsite Coverage, Weekend Recap, Gallery, Interviews, etc
NUMBER OF PRESS PASSES REQUESTED *
REQUESTING PHOTO PASS? *
EXAMPLES OF PHOTOGRAPHY (IF REQUESTING PHOTO PASS)
Submit
Never submit passwords through Google Forms.
This form was created inside of INFAMOUS PR. Report Abuse