DMV Summer Fest 2019 Media Accreditation Form
DIRECTIONS FOR ELECTRONIC SUBMISSION
1. Answer all questions with an (*)
2. Click the SUBMIT button to the bottom, and the form will be automatically sent to be reviewed for approval.
3. Please allow up to 48 hrs for a response.
Media Contact Information
Company Name *
Contact Name *
Contact Number *
Fax Number
Email Address *
Media Brand Website *
Social Media Information
Twitter Name
Facebook Name
Instagram
Google + Name
Media Details
Media Category *
Select All That Apply
Required
Frequency *
Media Participation
Please Indicate the Type of Pre-Coverage to be Provided *
Please Indicate the type of Coverage you Will Provide During the Event *
Staff Information
Name *
Position *
Name
Position
Clear selection
Comments or Questons
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