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Media Information Request
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Travel writers and members of the working media,
please use this form to request assistance from our Communications
Department.
If you are
not a member of the media, please click here to request a Visitor Guide and other information.
Fields denoted by an asterisk
(*) are required.
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| Title |
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| First Name * |
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| Last Name * |
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| Job Title * |
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| Name of Organization * |
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| Mailing Address * |
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| Street Address |
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| City * |
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| State/Province * |
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| Mailing Address Zip/Postal Code * |
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| Street Address Zip/Postal Code |
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| Country |
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Phone Number
(please include country code
if outside the USA) |
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| Fax Number |
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| E-mail * |
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| Website |
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Would you like to be added to
our media list? |
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| If yes, please specify mail or e-mail |
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| Projected Date of
Distribution/Broadcast * |
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| Deadline for Materials * |
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| Requests, less than two business days from
deadline, are asked to contact the Communications Department media manager by
phone at 336.728.4200.
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| Story Focus |
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| Audience |
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Circulation/Demographics |
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Regions of Distribution/Broadcast |
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Have you produced articles/programs
about Winston-Salem in the past?
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| If yes, please tell us about it. |
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| Would you like to receive a media kit? |
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| Would you like to receive images? |
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| Special Requests |
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| Thank you! Please click
"Submit Request" to complete the process. |
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Visit Winston-Salem. All Rights Reserved.
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