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Media Accreditation Form

First Name

Last Name

Company

Website

Company Email Address

Phone

Personal Twitter Handle

Position or Title

Media Type (magazine / news / blog)

Audience Circulation

Audience Reach

Number of Facebook Followers

Company Address

Assignment Editor's Name

Assignment Editor's Phone

Type of Coverage Planned

Have you covered a UFW or Skynation event before?

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No

Assignment Editor's Email

What particular story angles, can we bring to your attention?

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