Media Registration Form

Media Registration Form

3rd Annual Presidential Lifetime Achievement Award
Name*

First NameLast Name
Phone Number

Area CodePhone Number
Email*
example@example.com
Media organization*
Social Media Outlet
Website
Circulation/Viewership
By registering as media, you agree to grant The Presidential Awards access to all recorded and photographed content. You agree that you will submit all footage by December 7, 2022, 11:59 PM. All media must arrive on December 4, 2022, at 2 PM for set up and red carpet placement. Please note this is a black-tie affair, and the dress code is strictly enforced.

Point of Contact: Berry Dynamic 713-829-2081 berrydynamicpr@gmail.com
Your signature*

Clear
Please verify that you are human*
Should be Empty: