Media Interview Request
For assistance with media stories, please submit your request using this media interview request form. Please include as much information as possible with your request.
Name
*
First Name
Last Name
Job Title
*
Email
*
Phone Number
*
-
Area Code
Phone Number
Mobile Number
-
Area Code
Phone Number
Media Outlet Information
Media Outlet
*
Outlet Web Address
*
Type of Outlet
*
Online
Print
Radio
Television
Freelancer
Other
Region Distribution
Print Circulation/Reach
*
Audience
*
About Your Request
Purpose of Request
*
Interview
Cover Event
Other
How will you prefer to conduct the interview?
*
Email
Phone
In-Person
On-Camera
Deadline Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Deadline Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Date Story Runs/Airs
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Story Focus/Topic
*
Please include details regarding the story you're working on and specific information.
Sample Interview Questions
How did you hear about the San Antonio Botanical Garden?
*
Please provide any additional information here.
Submit
Should be Empty: