Media Request Form

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Media Credentials Request Form

Working journalists from accredited media outlets who are interested in covering AXPONA 2017 may request media credentials by filling out the form below. If you have any questions contact Sophia Lapat at Sophia@sophiaandco.com.

Name:
Title:
Media Outlet:
Media Outlet Web Address:
Email:
Phone Number:
Media Type:
  • a. Print
  • b. TV
  • c. Radio
  • d. Online/Blog
  • e. Other
Circulation#:
Description of Media Outlet:
Have you covered AXPONA in past years?
  • a. Yes
  • b. No
Please provide two links to published articles:
 
Do you want to receive information from exhibitors regarding new products or special events at AXPONA?
  • Yes
  • No
Security Image
Please enter the numbers and/or letters as shown in the security image:
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