Registration

Step 1

Media Sponsor Company Name *

First Name *

Last Name *

Phone *

Email *

Step 2

Address

City

State

Zip

Fax

Step 3

Approximate Total Value of In-Kind Sponsorship $

Media Type

Step 4

Previous Coverage Web Links

	Web Link *
1

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Screenshots of Previous Coverage

	Screenshot of Previous coverage *
1

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How you plan to cover the event in your selected media outlet?

Please explain in detail .

Audience Demographics and Market Reach

Please tell us more about your Audience Demographics and market reach.

	Category	Frequency	Outreach	$ Value
1
1

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