Accreditation

Salutation*
MrMs

First Name or Given Name*

Surname or Last Name*

Position at the Company

Email Address*

Phone Number*

Fax Number

Mobile Phone Number*

I work for (please select type of employer)*
Daily and/or Weekly NewspaperNews AgencyRadioTelevisionTrade Periodical, Professional JournalPeriodical/Magazine for the PublicOther

I work as a (please select)*
Press PhotographerCorrespondentRadio Broadcaster/Network/StationJournalistOther

Publishing House, Radio, TV Broadcaster (please supply name of your employer)*

Medium*

Department, Editorial Staff*

Street Address*

Postal Code, City*

Country*

Press Pass Number*

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