Media Registration Form

Media Registration Form
To ensure smooth access and coverage, all media representatives must request credentials in advance.
Media Organization/Affiliation*
Name of Media Representative

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Social Handles
Website / Portfolio Link
What camera(s) and equipment do you use for your productions?
Capturing Video or Photos?
Have you attended Mopar Heaven? If so, what was your experience like?
Days Attending? We are looking for team members that will help us cover multiple days.
How do you plan to cover the event? (Briefly describe your approach and focus). Please include deliverable like how many photos & reels do you plan on creating.
Short Bio about yourself
Where will your coverage be published?
By joining the Media Team you acknowledge you will be submitting all raw footage/photo (show coverage) to the Media Lead

Deadline to submit is 1 week after the event
TERMS & CONDITIONS: By submitting this application, and upon approval, I hereby acknowledge and accept the following terms: (1) $100.00 refundable media credential is limited to one entry pass; (2) Coverage must align with the event’s guidelines; (3) You will submit all raw footage & photography to the event team at the end of the vent or within one week after the show; (4) The event organizers may use my media content for promotional purposes (with proper credit); (5) You agree to collaborate with any posts made on your personal and professional pages with media (video, photographs, or edited images/videos) with the Mopar Heaven official page; and (6) You hereby agree that by NOT timely providing your raw data within the 1 week post event deadline, you agree to reimburse Mopar Heaven for the cost of your entry ticket for the weekend which include, vehicle entry, special parking, and VIP access equal to $300 minus your $100 deposit.
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Media Registration Form

To ensure smooth access and coverage, all media representatives must request credentials in advance.

By joining the Media Team you acknowledge you will be submitting all raw footage/photo (show coverage) to the Media Lead