Media Accreditation Form

Media support:
 Writing Press
Online Press
Radio
Television
Last Name
First Name
Media Organization
Postal Address
City
Province / State
Postal Code/Zip
Phone (office)
Phone (Night / Weekend)
Fax
Email

Additional accreditations requested:

Please list below any associates:

Associate's Names Responsibilities
1: Journalist (Technician, cameraman, photographer)
2: Journalist (Technician, cameraman, photographer)
3: Journalist (Technician, cameraman, photographer)

Do you require hotel accommodations?
Yes   No
Date of Arrival :
Date of Departure :
Your preference
(for correspondence)		 Email     Fax

 

If you have any difficulties in sending your accreditation, print this page and send the document by regular post or by fax to the following address:

43 Queen St., Charlottetown, PE
C1A 4A4
Tel 902.367.3679
Fax 902.437.7321
email info@tourdepei.com