Media Accreditation Form

Page 1

Media Accreditation Form Dates of attendance and notes: Full Name:

Television Radio Press Agency Media represented:

Written press Photographer Website Website and Photographer

Full Address: Business Address: Tel: Fax: Mobile: Email: Website:

Professional Membership:

National Press Association Membership International Press Association Membership

AIPS

What facilities do you require? Phone

Fax

ISDN

Send to: jernejafiser@yahoo.co.uk (phone: +386 40 574534) http: //www.salamunov-memorial.si


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