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Newport Film Festival - NIFF Media Accreditation 2005

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Newport Film Festival - NIFF Media Accreditation 2005
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 Signatur
e______________________________________________ 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





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