Sara Cooper PR Media Request Form
Please answer these questions so we can best accommodate your request.

If required questions are not relevant to your request, please put N/A

Sara Cooper | www.saracooperpr.com

Artist Requested *
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Name of Outlet *
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Type of media *
[tv, radio, print, web, blog, paper etc]
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Where will it be broadcast or published? *
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Type of coverage you are requesting: *
Event you wish to cover (for event coverage/photo pass requests) *
list date (Month|Day|Year), city and state
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Duration of interview: *
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Core demographic
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Who’s been interviewed for this show before?
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Deadline for interview: *
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What is street date that coverage will appear?
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Amount of readers/viewers/listeners
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Interviewer:
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Contact email: *
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Phone
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Questions *
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