Blank Noise Media Resource List
Are you a journalist , reporter, editor and or, are associated with a media house?
Blank Noise is creating a Media Resource List to send out project, event , campaign, updates.
Please fill in the following details, to help us add you in our Media Resource List contact.
What is your name?
Your answer
You work as:
If you selected 'Independent Journalist' , please provide the names or links to where you work is published
1- 3 names or links will suffice
Your answer
Name of the media house you are associated with
(If Applicable)
Your answer
Type of media house
Please check all that apply
Which country are you/ your media house based out of?
Which languages do you/ your media house publish in?
Your answer
Please include the categories which your media house falls under
Art, Women's rights, Global News, National News, Human Rights, Fashion, Lifestyle
Your answer
Please fill in your contact information
Your phone number
Your answer
Your email address
Your answer
Your Twitter handle
Your answer
Your own blog or website
Your answer
Your postal address
Your answer
Please provide the name of the editor of your media outlet
If applicable
Your answer
Please provide the contact details of your editor
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms