Name (required)

Name (required)

Type of Media
---OnlinePrintRadioTelevision

Title (please circle):
---ReporterVideographerPhoto JournalistTV CrewProducerOther

Company:

Program/Print Area:

Address:

Postal Code:

Tel:

Cel:

Website:

Email:

Coverage will be featured on (approx. date):

Comments:

NOTES:

• Deadline for media accreditation is July 26th
• Please inform us of any on-site requirements you may have
• Accreditation passes may be picked up onsite, specifics to follow.
• The Media Pass allows the bearer access to the TD IRIE Music Festival and all related events, where space permits.