Media Application Form
Please complete this form to apply for Pandemonio media coverage. If you are not a regularly covering member of a known media organization, but are instead a freelance journalist covering the event, your assigning editor should complete this form on your behalf.
Reporter's full name *
Your answer
Reporter's address *
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Reporter's phone number *
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Your full name
If you are an assigning editor applying on behalf of a journalist, please enter your full name.
Your answer
Your email address
If you are an assigning editor applying on behalf of a journalist, please enter your email here.
Your answer
What publication will be covering the event? *
What's the name of the publication for which this journalist be covering the event?
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What is the media outlet's readership/reach? *
How many subscribers/viewers/readers does the media outlet have?
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What's the journalist's Twitter handle?
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Where is the journalist based? *
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