Newport Film Festival NIFF Media Accreditation 2005 Page 1
For office use only:
Date received:
MEDIA ACCREDITATION APPLICATION
Newport International Film Festival
June 7-12, 2005
CONTACT INFORMATION
**Please complete one application for each person including crew members**
Name:____________________________________________ Title:______________________________
Address:_____________________________________________________________________________
City, State/Country_____________________________________________ Zip Code:_____________
Telephone: (Office)__________________(Home)______________________Fax:___________________
email:_________________________________________ Dates Attending:________________________
PUBLICATION/OUTLET INFORMATION
Primary Publication/Outlet:_______________________________________Market:_________________
Media Type:_____________________ Frequency:___________________ Circulation:_______________
Editor/Producer:______________________________________ Telephone:________________________
Address (if different than above):__________________________________________________________
Additional Publication/Outlet:____________________________________ Market:_________________
Additional Publication/Outlet:____________________________________ Market:_________________
SPECIAL INTERESTS Please select any categories on which you would like to receive specific information.
Spotlight Films/ Documentary /World Cinema/ Other _______________________________________
TYPE OF COVERAGE
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Applicant's Signature______________________________________________ Date________________
PLEASE RETURN THIS FORM BY MONDAY, Monday, May 31st TO:
SPRINGER ASSOCIATES Public Relations 1501 Broadway Suite 506 New York, New York 10036
Tel (212) 354-4660, Fax (212) 354-7588. E-mail: michelle@springerassociatespr.com
