Media Relations Intake Form
Please use this form if you are seeking use of Urban Homestead facilities, story, or similar for Public, Social, News, or other Media-related engagements and arrangements.
Name of primary Media Organization through Which Urban Homestead content will be distributed
Name of Show or Segment
Are you authorized by the primary Media distribution Organization listed above to contact and represent the Organization?
I work for and represent the Primary Media Organization directly
Your Mobile Number
Your organization name used to represent if primary Media Organization
What kind of engagement is being proposed?
This is a "Location" piece for which Urban Homestead will be remunerated.
This is a "Coverage" piece for a Primary Media Distribution Channel for which Urban Homestead will contribute in exchange for Major Media exposure.
What day is the Media Event currently scheduled for?
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