Media Credentials Request

Type of Credential Requested

Contact Info

Your Name (required)

Your Email (required)

Your Mailing Address (required)

Mobile Phone

Alternate Phone

Emergency Contact (Not at Rally)

Emergency Phone

Media Affiliation
If you are assigned by the press officer or the organizers, type FRAZIER MOUNTAIN RALLY in the Media Outlet field and the first and last name of the person who gave you the assignment. All other applicants are required to be affiliated with recognized media (see Media Guidelines).

Media Outlet

Assigning Editor

Website of Publication

Editor's Phone Number

Editor's Email Address

For what purpose are you requesting media credentials? *
For example, news story, feature article, event report, photo essay, online multimedia essay, etc.,br />