Visit NC Media Assistance Request Form
Press Visit / Tour Summary
Please share information about your desired travel dates.
Date of Arrival
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Date of Departure
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Journalist Information
Please share information about your contact information and preferences.
Full Name (per photo ID)
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Preferred First Name
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Date of Birth
MM
/
DD
/
YYYY
Gender
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Title
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Home Address
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Phone - Work
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Phone - Mobile
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Email Address
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Emergency Contact (name and phone)
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Special Dietary Requirements
Health Concerns or Physical Limitations
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Name and Relationship of Travel Companions (if applicable)
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Other Details for Visit NC to Know
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Media Information
Media Outlet
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Address
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Phone
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Website / URL
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Category
Format
Frequency
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Outlet Profile
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Circulation / Viewership
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Expected Publication Date
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Expected Coverage
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Length of Coverage
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Links to Recent Coverage
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Assigning Editor (name, title, email, phone)
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Social Media and Online
Please share information about your social media platforms and expected coverage.
Facebook - Username
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Facebook - Number of Followers
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Facebook - Expected Post Volume
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Twitter - @handle
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Twitter - Number of Followers
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Twitter - Expected Post Volume
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Pinterest - Username
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Pinterest - Number of Followers
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Pinterest - Expected Post Volume
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Instagram - @handle
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Instagram - Number of Followers
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Instagram - Expected Post Volume
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YouTube - Username
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YouTube - Number of Views
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YouTube - Expected Post Volume
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Snapchat - Username
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Snapchat - Number of Average Post Views
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Snapchat - Expected Post Frequency
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Expected Social Coverage
Yes
No
Facebook
Twitter
Pinterest
Instagram
YouTube
Snapchat
Journalist Story Goals
Please describe the goals and vision you have for your trip.
Story Angle(s)
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Interview Requests
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Interview Angle / Sample Questions
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Taking Photographs?
Need High Resolution Photographs?
Journalist Arrangements
Please specify any independent arrangements.
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Trip Details
Please list all applicable details for your trip.
Air Transportation (desired departure airport, flight date/time, etc.)
Your answer
Ground Transportation Required
Willing / Legally Able to Drive a Rental Car?
Accommodations (number of nights, desired * rating, etc.)
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Anticipated Coverage of Lodging (i.e., hotel will receive coverage in article, be mentioned in sidebar, not covered)
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Meals - Special or Notable Requests
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Anticipated Coverage of Restaurants
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Attractions - Special or Notable Requests
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