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CityPASS Request Form

Request Form – For Media Only

If you are not a member of the media, please visit our consumer page for information. To allow sufficient time for attraction approvals and shipping, requests for CityPASS ticket booklets should be received at least one month prior to the dates of your scheduled media research tour.

* required field

Mr. Ms.

Full Name *

Title

Media Outlet Address

(If freelance, list your preferred mailing address.)

Name of Media Outlet or Freelance *

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Country *

Phone Number *

Email *

Media Outlet Details

Circulation/Audience Size

Geographic Distribution Area

Anticipated Date of Publication/Broadcast

Bloggers

Blog URL

Google PageRank

Number of Subscribers

Number of Unique Visits per Month

Details of Your Visit

Which CityPASS city will you be visiting? *

Confirmed date of arrival

Name of your hotel (international media only) Your CityPASS ticket booklets will be shipped to your hotel.

Traveling with a guest?

Yes No

Limit: two CityPASS ticket booklets per journalist per destination

Details of Your Assignment

Type of Story Planned *

Name of Your Assigning Editor *

Your Editor's E-mail or Phone Number *

Do you need contact information for the local tourism bureau?

Yes

Comments, other requests

Article Samples

If freelance, please submit links to articles

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