Media Accreditation Form

Media Accreditation Form

2010 Canada Army Run Media Accreditation Form for Canada Army Run and Associated Events

Media Information

Name of Media Organization:
Name of Program/Column:

Type of media: Frequency of Publication (check all applicable):
Newspaper Radio On-going
Monthly Internet TV
Daily Magazine Weekly

  Access Required (check all applicable): 
TV Truck Finish Line
Start Line Media Room

  Language of media (check all applicable):   
English French Other

Expected Air Date/Publication Date:

Contact Person

First Name: Last Name: Title:
Address: City: Postal Code:
Telephone: ext.: Fax:
Email: Parent or Associated Media Company (if applicable):

Accreditation Request

Indicate the number of accreditations requested:

Media Contact Informationon Race Day:
Velma LeBlanc, 613-794-4806 or media@armyrun.ca

 
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