2021 Super Rugby AU Media Accreditation
Name
*
First Name
Last Name
Email
*
example@example.com
Contact Number
*
Organisation
*
Please select which city you are based in (this is where accreditation will be collected)
*
Brisbane
Canberra
Melbourne
Perth
Sydney
Please provide a clear passport photo of yourself, shot against a white background. This will be used for your accreditation.
*
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Cancel
of
Please select which Super Rugby teams’ home matches you wish to apply for accreditation for:
*
Brumbies
Melbourne Rebels
NSW Waratahs
Queensland Reds
Western Force
Media
*
Written Press
Radio Editorial
Television Editorial
Photographer
Editor's Name
*
Editor's Number
*
Editor's Email
*
Letter of support from Editor
*
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Submission must be a PDF
Cancel
of
I agree to the
Terms and Conditions
?
Submit
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