First Name: *
Last Name: *
Publication/Website/Blog Name: *
Publication Website Address:
Main Phone: *
Cell Phone: Please include a cell number where
Email:
Twitter Address:
Facebook Address:
Arrival Date: *
Departure Date: *
When & where will the story appear? Please include any and all anticipated coverage
What is your circulation/monthly site visit count?
Do you distribute/mail or email to your subscription base?
If yes, what is your distribution number?
What is the anticipated angle for your feature? Please provide a short description about your assignment, story angle, theme/focus, and the anticipated coverage you expect from your visit. (Max 500 characters.)
Will you provide us with copies when it appears?
Do we have rights to publish on our websites & redistribute to our clients?
Do you require lodging for your visit? *
If yes, will the lodging property be mentioned in your article?
Please identify any special lodging requirements.
How many people will be traveling with you? *
-- Select one -- 0 1 2 3 4 5 or more
Do you prefer a guided tour or do you prefer to explore on your own?
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