Sara Cooper PR Media Request Form
Please answer these questions so we can best accommodate your request.

If required questions are not relevant to your request, please put N/A

Sara Cooper | www.saracooperpr.com 

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Artist Requested *
Name of Outlet *
Type of media *
[tv, radio, print, web, blog, paper etc]
Where will it be broadcast or published? *
Type of  coverage you are requesting: *
Event you wish to cover (for event coverage/photo pass requests) *
list date (Month|Day|Year), city and state
Duration of interview: *
Core demographic
Who’s been interviewed for this show before?
Deadline for  interview: *
What is street date that coverage will appear?
Amount of readers/viewers/listeners
Interviewer:
Contact email:   *
Phone
Questions *
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