Media-Accreditation-Form

Name
Title/Media Outlet
Telephone
Fax
E-mail
Supervising Editor’s Name/Contact Info
Accompanying Photographer/Cameraperson
Expected Coverage
(i.e. describe feature, photo spread, listings, etc. and expected date of coverage)

Spokesperson interviews

Jean Augustine
Family Member
York University
Other

I agree to provide the Jean Augustine 80th Celebration Committee with a copy of resulting coverage byuploading the content to a secure FTP and by providing a hard copy of the footage.


Please return the accreditation form by e-mail:
Nadine Spencer at nadine@brandeq.com or Carl Edmonson carl@brandeq.com