Media Visit Request Form
Thank you for your interest in visiting Mid Wales. This form is designed to collect information that will enable us to review your request and provide you with the best possible visit.
PERSONAL DETAILS
Name
First Name
Last Name
Travelling with (if applicable) and their position e.g. photographer
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Emergency Contact Number (next of kin)
Please enter a valid phone number.
LANGUAGE
Level of English
Please Select
Poor
Good
Fluent
MEDIA DETAILS
Publication Name
Website Address
Media Type
Newspaper
Magazine
Broadcast
Online
Other
Circulation
Readership/Listeners/Viewer Numbers/Followers
Target Audience
Frequency of Publication
Please Select
Daily
Weekly
Monthly
Annual
Other
Description of coverage & any extra coverage you would create e.g. social media
Size of Article/s
How will your coverage be executed? i.e. live/post-visit
Have you visited Mid Wales before? Please provide any relevant details
Social Media URLs
Instagram
Facebook
Twitter
Other
Travel Details
Date of arrival into Mid Wales
Date of departure from Mid Wales
Number of nights in Mid Wales
Do you have your own transport?
Do you require a guide for any part of your visit?
Visit Theme
Theme/s of articles e.g. wildlife, food, adventure, walking
Which areas/towns/attractions in Mid Wales are you interested in visiting? (if known)
Accommodation Requirements
Type of accommodation e.g. hotel, B&B, self catering, glamping, etc.
Room Type
Please Select
Single
Twin
Double
Any special requirements or additional information you would like to add e.g. dietary needs, accessibility requirements
Privacy
I have read and understood the privacy statement and agree to how my personal data is collected, stored and used by MWT Cymru.
Submit
Privacy Statement
The Collection of Personal Data: MWT Cymru will be the data controller for any personal data you provide on the form and we will process it in line with our public task and the official authority vested in us. We will only use your data to enable us to book your trip, i.e. accommodation, visits to tourist attractions etc. MWT Cymru will pass on your personal data to third parties in order for us to make bookings related to your travel but for no other use. Once your trip has taken place we will keep a copy of your form on file for up to 3 years. Under data protection legislation, you have the right: • to be informed of the personal data MWT Cymru holds about you and to access it • to require us to rectify inaccuracies in that data • to (in certain circumstances) object to or restrict processing • for (in certain circumstances) your data to be ‘erased’ • to (in certain circumstances) data portability • to lodge a complaint with the Information Commissioner’s Office (ICO) who is our independent regulator for data protection. For further information about the information which MWT Cymru holds and its use, or if you wish to exercise your rights under the General Data Protection Regulation, please see contact details as follows: MWT Cymru, The Station, Machynlleth, SY20 8TG. Email: info@mwtcymru.co.uk. The ICO’s Contact details are: Information Commissioner's Office Wycliffe House Water Lane Wilmslow Cheshire SK9 5AF Tel: 0303 123 1113. For more information about MWT Cymru please see www.mwtcymru.co.uk
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