Press Credential Form

DEPLORABALL Press Access Request Form
Please provide the following information so that we may process your media pass for the Gays For Trump Inaugural DeploraBall Gala by 5PM EST on Wednesday the 18th of January, 2017.

Time and Space are illusions, but for this event.. they are limited.
Please respond to this form by end of business day (5:00pm EST) 
Friday January the 13th, 2017.
Media Outlet
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Name
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Email Address
Please enter a valid email
Business Phone Number
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Business Address
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City
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State
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Zip Code
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Type of Media
Newspaper
Television
Internet
Radio
Newswire
Magazine
Other
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Website URL
Please enter a valid URL
Detail Circulation Numbers
Detail Monthly Unique Visitors
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Describe Your Audience
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Job Title
If other please list and describe
Editor
Writer
Reporter (TV/Radio)
Producer ( TV/Radio)
Host (TV/Radio)
Photographer/Camera Person
Blogger
Other
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If other please list and describe
Assigner's Name
if different than Media Applicant for accreditation purposes
if different than Media Applicant for accreditation purposes
Twitter Handle
@
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@
Facebook URL
Please enter a valid URL
Detail your Intended Coverage of the Gays for Trump DeploraBall
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Additional Notes/ Information reguarding this application
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A Copy of Issued Photo ID
Must be valid and current
Choose a file
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Digital signature
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Submit
Thank you.
Once verified and approved you will receive confirmation via email.