Online Media Application

Contact Name:

Name of Media Outlet :

Street Address:

City: State: Zip Code:

Phone: (xxx-xxx-xxxx) AlternatePhone: (xxx-xxx-xxxx)

Email:

Media Type Media Type Other

Media Description

Circulation / Reach

PLEASE SPECIFY MEDIA COVERAGE:

1. What pre and post press articles or postings will run for Jazz in the Gardens? Specify dates if possible.

2. What is the angle of your story?

3. Will you be running photos/cut lines with the story? Of which artists?

4. Please specify time of arrival:

PLEASE INDICATE ANY ADDITIONAL NEEDS / COMMENTS HERE: