Media Accreditation Application 25/26

Media Accreditation Application
Media Organisation Information
Your Full Name
Media outlet/ your position
What type of media accreditation are you seeking? *
Refer Terms and Conditons https://woodfordia.org/media/media-terms-and-conditions/
Vehicle pass type (if required)
Which day would you like to attend?
Do you have a larger project to discuss? Please briefly describe your concept here.
Will your project take multiple days? Please email media@woodfordia.com if your concept does not fit into this box.
Proposed outcome of visit:*
If other, please detail:
Outline of proposed pre/during/post event coverage*
Expected dates story will be published:*
Please use the form DD/MM/YYYY
Media outlet where story is to be published: *
If freelancing do you have interest in the story from an established media outlet ?:
Which outlet?
Interview required on site with key talent*
If Yes please advise who you would like to speak to (please provide options as not all talent will be available):
Will you be taking your own images or will you need supplied shots:
Other key information:
Applicant Details
Name*

First NameLast Name
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number Business Hours

Area CodePhone Number
Mobile*

Area CodePhone Number
Website
E-mail*
Social Media Handles
Facebook
Instagram
Pinterest
You Tube
Tik-Tok
Please provide link(s) to previously published materials.*
Other
Your Head of Department Information
Chief of Staff, General Manager, Editor
Email Address
Phone Number

Area CodePhone Number
Media Type
Should be Empty:

Media Accreditation Application

Media Organisation Information

Applicant Details

Social Media Handles

Your Head of Department Information