Media Pass Request Form!

Thank you for planning to cover a GET MOTIVATED! seminar. Credentials will be required on-site for members of the media. Please provide us with the following information.

Event To Which You Would Like Access

Media Outlet


Your Name


Title


Address ( include city, state, zip)


Email Address


Web Site


Office Phone Number


Cell Phone Number


Date/Time of Arrival On-site


Additional Team Members Who Will Be Present (w/ titles):


Special Notes & Information:




 
For questions or information, please contact:
A. Larry Ross Communications
Julie Shutley
o. 972.267.1111, ext. 215
c. 214.457.1398
jshutley@alarryross.com

 
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