Visiting Media

*First Name

*Last Name

Address 1

Address 2

*City

*Country

Zip/Postal Code

*State

*Email

Phone

Phone Ext

Website

*Arrival Date

*Departure Date

Alternate Arrival Date

Alternate Departure Date

Date Comments

*Publication Name

*Publication Website

*Description (medium, frequency, reach, target audience, etc.)

*Social Media Handles

*Confirmed Story?

Yes
No

*If you answered yes above, name of Assignment Editor

*First Name

*Last Name

*Intended date of publication

*Topic/angle of the article

*Expected feature length

*Is transportation to New York City already confirmed?

Yes
No

*Is accommodation in New York City already confirmed?

Yes
No

*If not, do you have budget for this?

Yes
No

*If not, do you have budget for this?

Yes
No

*Please describe the support you are seeking from New York City Tourism + Conventions for your trip.

Any other notes