WTAC 2019 - Media Application Form
For information on which category you should choose for your media pass, please refer to information here: http://www.worldtimeattack.com/index.php/media/

Due to the high demand and competitive nature of these Media passes, each publication is limited to two (2) passes.

For any further enquiries, please email Alain Sihaphone on marketing@worldtimeattack.com

Select Type of Media Pass *
First Name *
Your answer
Last Name *
Your answer
Valid Email Address (Your Media Pass will be sent to this email) *
Your answer
Mobile Phone Number (You must be contactable on this number during the event) *
Your answer
Full Address *
Your answer
Location *
Have you attended WTAC previously? *
Links to Previous Work or Published Articles
Your answer
Do you have any Pre Existing Medical Conditions? *
Your answer
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