National Cowgirl Museum Media Credential Request Form

National Cowgirl Museum Media Credential Request Form
Media credentials are reserved for working journalists, photographers, videographers, editors, producers and other professionals representing established news organizations, recognized trade publications, broadcast outlets or legitimate editorial assignments. Freelance journalists must provide confirmation of assignment from an editor or established media outlet. Social media influencers, content creators, bloggers without a verifiable editorial assignment, brand representatives, marketing personnel and individuals seeking access primarily for promotional, commercial or personal content are not eligible for media credentials.
Applicant Information
Name

First NameLast Name
Professional Title
Media Outlet / Publication
Outlet Website
Email
example@example.com
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
City
State / Country
Coverage Details
Will a representative attend in person
Events Requested
Role and Assignment

Other Role
Other Role
Editor / Producer Assigning This Coverage
Assignment Contact Email / Phone
Describe the planned story, segment or coverage
Anticipated Publication / Air Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Estimated Reach / Circulation
Access and Agreement
List any B-roll or image needs.
List the names of individuals you wish to interview. We will do our best to accommodate you but cannot guarantee availability.
- I understand that this is a request only and that credentials are issued at the Museum's discretion.
- I will follow event schedules, security instructions, designated media areas and staff direction.
- I will not obstruct guests, participants, Museum operations or other members of the media.
- I understand that special access, interviews, quiet sets, live shots and equipment placement require advance approval.
- Credentials are nontransferable and may be revoked for misuse or failure to follow event requirements.
Credential Agreement - I have read and agree to the credential terms above
Freelance writers please upload confirmation letter of assignment from publication editor ON PUBLICATION LETTERHEAD.

Cancelof
Applicant Signature (Type Full Legal Name)

First NameMiddle NameLast Name
Signature
Should be Empty:

National Cowgirl Museum Media Credential Request Form

Applicant Information

Coverage Details

Access and Agreement