MEDIA CREDENTIALS APPLICATION
for the
 • Emergency Action for Women's Lives
Sunday, April 22
Washington, DC

Media credentials to the Emergency Action for Women's Lives allow access to a media seating area and access to interviews with speakers and entertainers.
Access to press riser will be available as space allows.
 

Please print out this form and return with a copy of your official press credentials to:
NOW Media Relations Office
 Fax: 202-785-8576
Phone: 202-628-8669, ext. 116
(Please fill out one application per person.  Please print clearly.)

Media Organization:_____________________________________________________

City:_________________________________  State:______ Zip:__________________

Phone:___________________________  Fax:_________________________________

E-mail:________________________________________________________________

Name of Reporter or Crew member:________________________________________

Signature:______________________________________________________________

Will you need a space for a camera?  Yes______      No_______
 
 

NOW

(All applications are subject to approval and verification.)


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