Dirtybird Campout Media Request Form
Please complete this form and contact dperales@infamouspr.com with any questions/concerns.
FIRST NAME *
Your answer
LAST NAME *
Your answer
MEDIA PUBLICATION *
Your answer
PUBLICATION URL *
Your answer
PUBLICATION EDITOR *
Your answer
EDITOR EMAIL *
Your answer
UNIQUE MONTHLY VIEWS *
Your answer
NUMBER OF FACEBOOK LIKES *
Your answer
NUMBER OF TWITTER FOLLOWERS *
Your answer
EMAIL *
Your answer
PHONE *
(123) 456-7890
Your answer
PREVIEW COVERAGE LINK *
Your answer
COVERAGE PROPOSED *
ex. Daily onsite Coverage, Weekend Recap, Gallery, Interviews, etc
Your answer
NUMBER OF PRESS PASSES REQUESTED *
REQUESTING PHOTO PASS? *
EXAMPLES OF PHOTOGRAPHY (IF REQUESTING PHOTO PASS)
Your answer
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