2010 Sunferries Magnetic Island Race Week Media Accreditation Form
   
 Media accreditation Form - to enable access to High Res images for editorial use etc.

To request accreditation for 2010 Sunferries Magnetic Island Race Week, please complete this form.

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* Fields are required.
Personal Details  
First Name * 
Last Name *
Job Description *
Telephone *
Fax
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E-mail*
Confirm E-mail*
   
Contact Address  
Address Line 1 *
Address Line 2
City *
Postcode *
Country *
   
Business Details  
Name of Publication *
(If freelance, please state titles/media who have commissioned coverage of this event)
Company Name *
Company or Publication Website *
Publishers or Managers Name *
Publishers or Managers Email *
Circulation Period *
Circulation Amount(numeric only) *
   
   
Office Address Only if different to above
Address line 1
Address line 2
City
Postcode
Country
Telephone
   
Media Details  
Media Type *
Media Category *
Media Frequency *
Do you want to receive daily news releases by email during the event?
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