Care Harbor LA 2018 Media Registration
Please provide all of the information requested so that we can quickly process your media badge when you arrive at the clinic. You must check in at the Media Room located in the lobby of The Reef to pick up a badge and be escorted to the clinic floor. Only registered media will be allowed to film or photograph at the clinic.
Media Outlet / Organization *
Your answer
Type of Media *
First and Last Name *
Your answer
Office/Mobile Phone Number *
Your answer
E-mail *
Your answer
Media Region
Dates You Are Planning to Attend *
Please indicate the type of equipment you will be bringing with you (e.g. live truck, camera, etc.)
Your answer
Please indicate any specific interview needs/shot requests (e.g. shot of clinic prior to start)
Your answer
Additional Comments/Requests
Your answer
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