Media Request Black Millionaires Conference

Media & Press Request Form

Black Millionaires Conference
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
What Media Company do you represent? *
What is your Media company website? *
EX: @Jameshiltv
Did a PR firm you represent refer you to our event! ? *
EX: @Jameshiltv
What is your Media company Instagram Handle? *
EX: @Jameshiltv
What topics does your media company generally cover. Please be specific? *
Do you have any specific interview request with any of the speakers? If so please list them? *
How many Media passes do you need?*

1.2.3+ Including camera operator etc.
Are you planning on covering the event as a whole or just one specific individual?*

1 specific person.All of the speakers.All of the speakers + the entire event.
Are you capturing on camera footage or coverage for a written article.

Yes I will be covering on camera footage.No I am only covering to write an article not to make the intro.
Should be Empty:

Media & Press Request Form