Media Accreditation Form to be completed and signed by each individual applicant. All fields must be completed to ensure the application is processed.
Name of Organisation and Product Brand name *
Media Outlet Type (Please select type and specialty.) Newspaper Magazine TV/Film Radio Other
Name of Senior Manager, Chief of Staff / News Director who has approved your application *
Name * (First/Last)
Position Title * Journalist Reporter Editor Photographer Cameraman Technician Other(Please select your role e.g. Journalist, Reporter, Editor, Photographer, Cameraman)
Direct Phone *
Direct Fax *
I confirm that all information is accurate and that I have read and accept the conditions applied.
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