press accreditation form - Festival International de Géographie

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To be send by mail or e-mail,
with a copy of your press card, to :
REGIONAL PRESS
Laëtitia Martel
Hôtel de Ville - Place Jules-Ferry
BP 275 / 88107 Saint-Dié-des-Vosges cedex
Mobile : 06 81 24 68 41
E-mail : [email protected]
NATIONAL PRESS
Patrick Schmitt
ADFIG - 26, rue d’Amérique
88100 Saint-Dié-des-Vosges
Tel. : 03 29 42 16 76
E-Mail : [email protected]
Name :First name :
Media :
Press Card N° :
Function of the journalist :
Editor
Journalist
Free lance
Correspondant
Photographer
Feature editor :
name of the feature :
Reporter TV
Other :
Area covered by the journalist :
PROFESSIONAL CONTACT
Adress :
Postal Code :
Town : Country :
E-mail : Tel. :
Mobile : Fax :
PERSONAL CONTACT
Adress :
Postal Code :
Town : E-mail : Tel. :
Mobile : Fax :
Country :
INFORMATION ABOUT THE MEDIA
IDENTIFICATION
International Press
National Press
Regional Press
Press Agency
Photo Agency
Radio
Newspaper
Site web / Blog
Newsletter
Television
Specialized Press :
Scientific
Tourism and gastronomy
Art and culture
Events
Politics and geopolitics
Environment
Other :
FREQUENCY
Daily Weekly Monthly
Bi-monthlyQuarterlyOther :
MEDIA CONTACT
Name of the media :
Adress :
Postal Code : Town : Country :
Editor’s name :
E-mail : Fax : Work phone :
Website :
STAMP : SIGNATURE OF EDITOR :
Festival International de Géographie
Hôtel de Ville - Place Jules Ferry - BP 275 / 88107 Saint-Dié-des-Vosges cedex
Tél : 03 29 42 16 74 / Mail : [email protected] / www.fig.saint-die-des-vosges.fr