Media Access Request

Press Access Request

Must be completed 48 hours prior to requested access date.

REPORTER INFORMATION

First Name *
Last Name

PHOTOGRAPHER / VIDEOGRAPHER INFORMATION

First Name
Last Name

REQUESTOR CONTACT INFORMATION

Email *
Phone

BROADCAST / PUBLICATION DETAILS

Media Outlet Organization *
Date of Visit? (example:January 31,2020) *
Time of Visit (include AM/PM) *
Date of Broadcast? (example: January 31,2020) *
Time of Broadcast (include AM/PM)
Story/Assignment Summary

CLASS ASSIGNMENT INFORMATION

Please complete the following lines if this request is to fulfill student classroom assignment.

Class
Assignment

Address:

1401 Palo Verde Ave.
Long Beach, CA 90815
map and directions

Phone:

(562) 985-0775

Email:

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Media Access Request

Start:

SRWC:

S5 Box