Media Trip Request Form

Media Trip Request Form

Are you planning a media trip to the Yakima Valley? Get in touch, we'd love to meet you and help you plan your visit.
Journalist Information
Name *

First Name Last Name
Occupation *
Email *
example@example.com

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Publication Information
Publication Name *
Max 70 characters
Type of Publication - Check all that apply *

Travel Trade Consumer Daily Weekly Monthly Social (Blog / Social Media / etc.)
Publication Focus, Niche *
Max 70 characters
Audience Demographics *
Max 70 characters
Unique Monthly Visitors OR Circulation *
Max 25 characters
Please include a screenshot of the publication's previous 6 month website users, if applicable.

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Social Media Information
Twitter URL / Followers *
Put N/A is this does not apply
Facebook URL / Likes *
Put N/A is this does not apply
Instagram URL / Likes *
Put N/A is this does not apply
May we mention you on social media pre, post or during your travels? *

YES NO
Please provide examples of work (URLs) *
Upload Media Kit, if available.

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Tour Details
Number of Journalists *
Number of Non-Journalists *
Please provide trip dates *
Date format should be mm/dd/yyyy
Interests, story ideas and/or angles *
Examples: Culinary / Beer / Culture / Wine / Outdoor
Communities this tour will include *
Example: Yakima Valley / Tri Cities / Seattle / National Park / Unknown
Budget amount (if any) *
Have you visited Washington before? *

YES NO
Have you visited the Yakima Valley before? *

YES NO
Requested Arrangements
Transportation *
Lodging *

Comp Journalist to pay
Meals *

Comp Journalist to pay
Dietary Restrictions *
Attractions *

Comp Journalist to pay
Physical Restrictions *
Host *

Would like a travel host Would prefer to travel on own No preference
Enter the message as it's shown *
Should be Empty:

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Media Trip Request Form

Journalist Information

Publication Information

Social Media Information

Tour Details

Requested Arrangements