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Media Coverage Request Form
Company Name
Exhibit Space(s)
Company Website
Onsite Contact
Phone
Email
Interviewee Name
Phone
Email
Product Industry/Category
Social Media
Facebook
Instagram
Twitter
Instagram
Twitter
Area of Participation
Exhibitor
Top-10 New Product Nominee
Top 10 New Product Winner
Seminar Speaker
Select all that apply
Are you able to demo your product in your exhibit space?
Yes
No
Are you interested in doing a morning TV interview from 4:00 am - 7:00 am?
Yes
No
Availability to speak with media at your exhibit space
Monday
Tuesday
Wednesday
Thursday
Why will the media want to talk with you?
New Product(s)
Company Anniversary
Solutions to current issues
Awards/Recognitions received
Other
New Product(s)
Name of Product(s)
Company Anniversary
# of years
Solutions to current issues
Brief description of product/solution
Awards/Recognitions received
Brief description of awards
Other
Have you attached any of the following collateral material for media use?
Press Releases
Company or Product Logo
Product Photos
I will bring materials by the deadline
File(s)
Drop files here or
Select files
Max. file size: 64 MB.
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Contact Name:
Email
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Media Contact
Email
Media Contact
Email