USE MY LOCATION
Hello! This form helps us capture all your key data so that we can correctly tag, promote, share and publish the video.
Your name
*
First Name
Last Name
Name of location e.g 30 St Mary Axe (The Gherkin)
*
Address of location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your mobile number (in case we need to contact you)
*
The contact name and number of someone we can reach if we have problems getting access to the location
Contact email for access to location
*
example@example.com
Please provide any information you think will be helpful regarding getting access (do we need ID / is there a check in process that takes time / do we need a named host / directions etc
Please enter the URL for the location
If the location / room / venue doesn't have a website or social media PLEASE UPLOAD SOME PHOTOS
Browse Files
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LOCATION TWITTER URL
LOCATION YOUTUBE URL
LOCATION FACEBOOK URL
LOCATION INSTAGRAM URL
Email address of PR contact for location
example@example.com
Is there an event or date that you would like us to publish your video on (e.g. if you have an event / launch, other press activity happening etc) / leave blank if not.
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Month
-
Day
Year
Date
Please verify that you are human
*
Submit
Should be Empty: