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SECTION 1 - About the Media Organisation
 
*Name of Media Organisation Represented:
*Address of Organisation:
Postal Address:
(If different from above)
Media Organisation category:
Please tick ONE box only that best represents your media organisation's category and state frequency/details.
 
  Newspaper
     
  Newsletter
     
  Magazine
     
  TV Name of show/segment:
     
  Radio Name of show/segment:
     
  Internet Web address:
     
  News Agency Agency name:
     
  Other Provide details:
     
Authorisation:
Please provide the details of the person that authorises your participation and the collection of information at Pacific 2010.
(Please note incomplete information may lead to the delay in the processing of your application).
*Name:
*Position:
Email:
Phone Number:

SECTION 2 - About the Applicant
 
*
*Title:
*First Name:
*Surname:
*Position/Job Title:
Postal Address:
(if different from
media organisation)
Phone Number:
Mobile Number:
Direct Email Address:

Third Party Contact:
Do you give your permission for your name and contact details to be given to Pacific 2010 stakeholders wishing to contact you for media conferences, media events, photo opportunities, etc?
(Only your name, organisation and preferred method of contact will be given)

 
Preferred method of contact:

SECTION 3 - Additional Freelance Requirements
(Freelancers only)
 

Persons who work on a freelance basis are welcome to apply for media accreditation provided the following is submitted:

  • Examples of your professional work
    (ie photos from magazines, articles you have written, etc)
  • A letter of commission from a recognised media outlet on original, official letterhead.

You are welcome to submit your application online, but the letter of commission and two samples of your professional work  must be scanned in colour and uploaded here.

Upload letter of commission.

Upload professional work


If you are unable to do this, please post the ORIGINAL of your letter of commission and examples of your professional work.

Please post to
Peta RIchards
Media Accreditation
Pacific 2010 International Maritime Exposition
PO Box 4095
Geelong VIC 3220
Australia

You can also contact the media department via phone +61 3 5282 0500 or via email prichards@amda.com.au

 
 
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