Visit NC Media Assistance Request Form
Email address *
Please share information about your desired travel dates.
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Date of Departure
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Journalist Information
Please share information about your contact information and preferences.
Full Name
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Preferred Name
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Date of Birth
MM
/
DD
/
YYYY
Gender
Your answer
Outlet, Title
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Address
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Country
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Phone - Work
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Phone - Mobile
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Email
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Emergency Contact (name and phone)
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Special Dietary Requirements
Important Information to Note
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Guests Traveling With You
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Transportation Needs
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Outlet Information
Outlet
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Address
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Phone
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URL
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Category
Format
Frequency
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Outlet Information
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Outlet Stats
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Coverage Date
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Expected Coverage
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Detail on Coverage
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Past Articles
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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
Your answer
Facebook - Number of Followers
Your answer
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
Your answer
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
Your answer
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.
Reason to Visit
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Interview Requests
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Interview Angle / Sample Questions
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Taking Photographs?
Need High Resolution Photographs?
Accommodations
Please specify any independent arrangements.
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Trip Details
Please list all applicable details for your trip.
Transportation
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Ground Transportation Required *
Willing / Legally Able to Drive a Rental Car?
Hotel Preference
Your answer
Anticipated Coverage of Lodging (i.e., hotel will receive coverage in article, be mentioned in sidebar, not covered)
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Food & Beverage Interests
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Coverage Details
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Specific experiences to be included in your coverage:
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Any additional information you want to include
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A copy of your responses will be emailed to the address you provided.
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