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MEDIA ASSISTANCE
PRESS KIT
FAST FACTS
IMAGES AND VIDEO
ACCOMMODATIONS
MEETINGS
CONTACT US
Press Trip Request Form
Order Number
Journalist Information
Full Name:
*
Title:
*
Full Mailing Address:
*
Cell Phone:
*
Email Address:
*
Emergency Contact:
*
Please provide name and Phone Number
# of adults traveling with you:
*
# of kids traveling with you:
*
Media Outlet Information
Media Website:
*
Language:
*
Audience Demographic:
*
Media Type:
*
Media Name:
*
Media Circulations/Audience Numbers:
*
Website Unique Vistiors:
*
Media Profile:
*
If you’re a blogger, please submit your Google Analytics information.
Accepted files: jpg, png, pdf
Anticipated Results
Date of Publication/Air Date:
*
Value of Published Article:
*
Expected Coverage Results:
*
Assigning Editor:
*
Letter of Assignment:
*
Yes
No
If “yes,” please forward with this form. If “no,” please show that you have a proven relationship with media outlet.
letter of assignment
Accepted files: jpg, png, pdf
Social Media Platform
Facebook @
*
Twitter @:
*
Instagram @:
*
Pinterest:
*
YouTube:
*
Reach
Facebook Reach
*
Twitter Reach
*
Instagram Reach
*
Pinterest Reach
*
YouTube Reach
*
Anticipated Coverage
Facebook Coverage
*
Twitter Coverage
*
Instagram Coverage
*
Pinterest Coverage
*
YouTube Coverage
*
Previous Emerald Coast CVB Sponsored Visit(s)
Date(s):
*
Results from assisted visit(s):
*
Journalist Story Goals
Anticipated Visitation Date:
*
Story Focus:
*
Requested Experiences:
*
Accommodations and Transportation
Requested Property:
*
Number of Rooms/Nights:
*
Transportation Request:
*
Will you included coverage of the accommodations partners or transportation providers?
*
Interviews with Emerald Coast CVB Partners
If you need assistance with scheduling, with whom would you like to meet?
*
Other Special Requests
Other Special Requests
*
Business Card Submission
*
Accepted files: jpg, png, pdf
You are donating to :
How much would you like to donate?
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Name *
Last Name *
Email *
Phone
Address
Additional Note
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