2012 Media Credential Application

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2012 Los Angeles Food & Wine Festival
Press Credential Application
August 9-12, 2012

**Please complete one application per person including all crew members**

Contact Information

*Name:
Title:
*Address:
*City:
*State:
*ZIP Code:
*Telephone:	(O) (M)
*Email:

Outlet Information

Primary Outlet:

Print

Form	Newspaper Magazine
Frequency	Daily Weekly Bi-Weekly Monthly Quarterly Other
Distribution	Regional National
Circulation:

TV

Distribution	Regional National
Call Letters:
Network:
Program Name:
Avg. Number of Viewers:

Radio

Distribution	Regional National
Program Name:
Avg. Number of Listeners:

Digital

URL:
Editor/Producer:
Market:

Wire Service

Service Name:
Type	Photo News News
Reach	Local National International

Type of Coverage

	Briefly describe stories and length of coverage
*



	AS A CONDITION OF RECEIVING CREDENTIALS TO LOS ANGELES FOOD & WINE 2012, I AGREE TO SEND TEAR SHEETS, OR A COPY OF MY COVERAGE AS SOON AS POSSIBLE FOLLOWING THE EVENT.
*Applicant's Name:
*Date:

Contact Information