Pour The Core: Long Island 2018 Media Pass Request Form
Please fill out the following form to request a media pass for Pour the Core: Long Island to be held on September 29, 2018 at Heckscher State Park in East Islip, NY.
Email address *
Your Last Name *
Your answer
Your First Name *
Your answer
Your Professional Title *
Your answer
Media Company *
Please provide us the company for which you write/cover for.
Your answer
Phone Number *
Please provide us your business phone number in the following format: XXX-XXX-XXXX.
Your answer
Company Website *
Your answer
Type of Media *
Example of your work *
Please provide us a link to an example of your work or past coverage of an event that can be found on the internet.
Your answer
A copy of your responses will be emailed to the address you provided.
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