Accreditation Request

TYPE OF MEDIA

Name of the media*

Website*

Type of media*
Newspaper Magazin Agency TV Radio Photo Social Media Freelance

Average readers/viewers per month*

Follower Instagram*

Follower Facebook*

Follower Twitter*

PROFESSIONAL ADDRESS

Address*

Country*

Phone*

E-Mail*

PERSON TO BE ACCREDITED

Family Name*
  

First name*

Function*
Journalist Fotograph Technician Other

Cell*

E-mail*

ARRIVAL AND STAY

Arrival Date

Departure Date

Interested by a press program about the Val d'Anniviers region Yes No

Accommodation (if already known)

If not, need an accommodation (accommodation no longer available)
Yes No

Contact

I want to take part to the press conference on Friday 9th August 18h)
Yes No

I want to recieve the race's press releases
Yes No

I want to receive the newsletter
Yes No

I want to get a bib to cover the race from the inside
Yes No