2027 Broadcast Space Application
Name:
*
First Name
Last Name
Title:
*
Media Outlet:
*
Email:
*
example@example.com
Cell Phone Number (required for contact on-site):
*
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Media:
*
Magazine
Newspaper
Online/Web
Television
Radio
Podcast
What will you be covering?
*
What is your estimated set-up time?
*
Hour Minutes
AM
PM
AM/PM Option
Additional Notes on Set Up Time
Broadcast Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Broadcast End Time
*
Hour Minutes
AM
PM
AM/PM Option
Technical and Setup Needs (check all that apply):
6' table with cloth
Chairs (2)
Electrical power (one 15-amp power source)
Power strip (one 5-outlet power strip)
Ethernet (one 4-port PPoE gigabit switch)
Wireless (provided at 802.11n/ac wireless standards)
Need anything else? Tell us here if you have any special requests:
What equipment do you plan to bring? If listing signage, please include dimensions. All sets and signage must be approved by the Detroit Regional Chamber prior to the Conference. You may attach photos or other files below:
*
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