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Media Accreditation Request

Before completing the online accreditation request, please note the following:

Space is limited and we will only be accrediting working media.

Freelance media , please fax a letter of assignment to accompany your accreditation request to 416-406-0656, Attention: Wakestock Media Relations.

Requests will be accepted until Wednesday July 23, 2008.

Please fill out one form per person attending.

You MUST enter a valid e-mail address, or else the form will not be submitted.

Fields marked "*" are mandatory.

* First Name:

* Last Name:

* E-mail address:

* Phone:

Fax:

Mailing address:

* City:

* Province/State:

* Postal/ZIP Code:

* Country:

Website:

Position:
Staff Freelance

* On assignment for:

Assignment description:

Geographical distribution: check all that apply

Local	Regional
National	North American
Other Country, please specify:

* Audience circulation/reach:

Assignment Editor:

Assignment Editor's Phone:

Assignment Editor's E-mail:

Media type: check all that apply

Role: check all that apply

Arrival date:

Departure date:

Expected publishing/distribution date of article or film:

Have you attended Wakestock before?
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Questions or comments: