Media Credential Request

Event Media Credential Request

Media Credential Request Form

Organization Info

Media Organization(*)

Please enter the name of your media organization.

Publication/Website(*)

Please enter your publication name or website

Address(*)

Please enter your media organization's street address

Address 2

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City(*)

Enter your media organization's city

State(*)

Enter your media organization's state

Zip Code(*)

Enter your media organization's zip code

Which event are you interested in?

Choose Your Event

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How Many Credentials Are You Requesting?

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Primary Attendee Information

First Name(*)

Please let us know your name.

Last Name(*)

Please enter your last name

Job Title(*)

Please add your Job Title

Your Email(*)

Please let us know your email address.

Phone(*)

Please enter your best contact phone number

Publication Information

Photos Will Be Published(*)

Yes No

Will the photos be published

Media Outlet Type(*)

Please select a media outlet type

Distribution Schedule

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Circulation Count(*)

Please enter your circulation numbers

Primary Audience

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Prior Goodguys Event Coverage (if none, leave blank)

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Anti-SPAM(*)

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Event Media Credential Request