LAFF_icons-teal-small-23.png

press credential application



 

Please complete the form below, one application per person.

Name *
Name
Address *
Address
Phone *
Phone
Outlet Information
Outlet Category *
http://
Photographer (if applicable)
Photographer (if applicable)
Photographer Phone (if applicable)
Photographer Phone (if applicable)
Camera Crew Contact (if applicable)
Camera Crew Contact (if applicable)
Camera Crew Phone (if applicable)
Camera Crew Phone (if applicable)
News Van Access Required?
Anchor's Name (if applicable)
Anchor's Name (if applicable)
Anchor's Phone (if applicable)
Anchor's Phone (if applicable)
Giveaway / Contest Tickets Requested? *
Applicant Signature *
Applicant Signature
Please provide your full name below, accepted as your digital signature.
Date of Signature *
Date of Signature