Media Inquiry Form
Thank you for your interest in working with 826LA and The Time Travel Mart

Please take a moment to fill our our interview request form, our Senior Manager of Strategic Partnerships and Communications will be in touch shortly, thank you!
Sign in to Google to save your progress. Learn more
Email *
Media Outlet Name (Name of the publication, station, or platform requesting the interview)
Please provide your contact information (name, title, email, phone)
Date of Request
Deadline for response
Preferred Interview date and time
Purpose of the interview (what is the main focus or angle of the interview?)
Type of Interview
Clear selection
Proposed duration of interview
Target Audience (who is the primary audience for this interview? Demographics, interests, etc)
Potential Reach (estimate number of viewers, readers, listeners, or social media followers)
Questions/Topics to be covered (please provide a list of questions or topics you intend to discuss)
Additional Participants (will there be any other participants, panelist, or interviews involved? If so, please list them
Background of the story (provide a brief background or context for the story)
Any controversial aspects? (If yes, please specify)
Will the interview be recorded or broadcasted live?
Clear selection
Will 826LA have access to the final content before publication/broadcast? (if yes, please specify the review process and timeline)
Location of the interview (for in-person interviews, please provide the address)
Technical requirements (any special equipment, setup, or technical support needed)
How will the interview be promoted (social media, newsletter, etc
Any other information we should know? 
If applicable, please provide a link to your portfolio or website.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of 826LA.

Does this form look suspicious? Report