Application Form for Press Accreditation to STARMUS IV
Press application form - N.B This is an application form it does not guarantee you a press pass.
First Name
Your answer
Last Name
Your answer
Name of media outlet you are representing
Your answer
Your Job Title
Your answer
Which subjects do you cover?
Required
Type of Media
Which Parts of Starmus would you like to cover?
Your answer
What outlet will you cover Starmus in / on?
Your answer
What is the circulation / broadcast figure for the outlet you will cover Starmus in / on?
Your answer
Do you have any interview requests?
Your answer
Date of Start / Arrival
MM
/
DD
/
YYYY
Date of end / Departure
MM
/
DD
/
YYYY
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