Interview Request Form

Interview request with

Requested by

First Name:

Last Name:

Type of Media

Title (please circle):

Company:

Program/Print Area:

Address:

Postal Code:

Tel:

Cel:

Website:

Email:

Date of Interview

Time of Interview

Location # to call

Location to meet

Interview Length

On Air

How long needed

Coverage will be featured on (approx. date):

Images requested
 BETA DV HDV MP3 PDF JPG

Comments:

NOTES:

  • Apply for media accreditation
  • 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.