Media accreditation Form

To request accreditation for 2011 Around Australia Ocean Race and Rally, please complete all sections of the following form and press the submit button to send your details to the 2011 Around Australia Ocean Race and Rally Media Centre Administrator.

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* Fields are required.
Personal Details  
First Name * 
Surname *
Job Description *
Telephone *
Fax
Mobile
E-mail*
Confirm E-mail*
   
Contact Address  
Address Line 1 *
Address Line 2
City *
Postcode *
Country *
   
Business Details  
Name of Publication *
(If freelance, please state titles/media who have commissioned coverage of this event)
Company Name *
Company or Publication Website *
Publishers or Managers Name *
Publishers or Managers Email *
Circulation Period *
Circulation Amount(numeric only) *
   
Online Media Centre (Local event time)
Email address for three images daily
Image Resolution
Daily news report from Media Centre : (HH:mm)
SMS News
Morning deadline time : (HH:mm)
Middle of event deadline time : (HH:mm)
Wrap of day deadline time : (HH:mm)
Email results deadline time : (HH:mm)
   
Office Address  
Address line 1 *
Address line 2
City *
Postcode *
Country *
Telephone *
   
Media Details  
Media Type *
Media Category *
Media Frequency *
Do you want to receive regular news releases by email during the event?
  Yes No