Orlando Jerk Festival 2019 Media Accreditation Form
Thank you for your interest in covering a Full-A-Vybez Inc. event production. Once your application has been processed, our media directors will review your credentials. You will then receive an email confirmation informing you whether or not we can accommodate your request. Due to the high volume of requests received, tickets are limited to two per outlet, some media outlets will only be allotted one ticket.

7th Annual Orlando Jerk and Culture Festival
November 3rd at the Central Florida Fairgrounds.
Deadline for Application is October 20th, 2019.
Completed and signed forms must be returned to: koffeedrop@gmail.com

**Official letter of assignment from publication editor must be included with completed application form to be considered.
**Any pre-event media clippings should be attached/linked as well.
Company Name *
Contact Name *
Contact Number *
Email Address *
Website *
Twitter *
Instagram *
Media Type *
Frequency *
Indicate the Type of Pre-Coverage to be Provided *
Indicate the type of Coverage you Will Provide During the Event *
Indicate the type of Coverage you Will Provide Post Event *
1st Staff Information *
1st Staff Name *
2nd Staff Information
Clear selection
2nd Staff Name
Comments or Questions
You will be contacted regarding approval status. Add additional information here.
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