LIAC Media Credential Request Form
The LIAC requires that journalists be employed by a media organization or a freelance journalist with a strong portfolio of published work to qualify for media credentials.

MEDIA CREDENTIAL REQUESTS MUST BE RECEIVED BY JUNE 7

First Name *
Your answer
Last Name *
Your answer
Title
Your answer
Media Outlet *
Your answer
Editor
Your answer
Address
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Mobile
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Email
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Website
Your answer
Please check all that apply
Important: Are you requesting on-site interviews? If so, with whom?
Your answer
Who is your primary audience? Please select all that apply
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