Jupiter Events - Press Pass Registration Form

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Press Pass Registration Form

In order to qualify for a press pass, please complete the form below and click on the Submit button.
All fields must be completed in order for your press registration to be considered.
**Please Note: After we have received your credentials, they will be reviewed and are subject to approval based on press space allocation and management's discretion. If approved, you will receive an e-mail confirming your registration status. Thank you.
Click here to see our current and previous event sites.
Questions? Please contact:
Lisa DiGiacomo
Marketing & PR Associate
Jupitermedia Corporation
FAX: 203-547-6088
press@jupitermedia.com

Event Name & Location: *
Which event do you wish to cover?

First Name: *

Last Name: *

Publication/Company: *

Job Title: *

Titles Accepted: Editor-in-Chief, Senior Editor, Executive Editor, Associate Editor, Technology Editor, Managing Editor, Editor, Staff Writer, Reporter, Columnist, Photographer (Freelance Writers: You must provide a letter of assignment signed by the editor of the publication for whom you will be covering the event. In addition to filling out this form, please e-mail or fax letter to number listed below.)

Address 1: *

Address 2:

City: *

State/County/Province: *

Zip/Postal code: *

Country: *

Phone: *

Fax: *

Email: *

What Type of Publication Do You Write For? *

Online Publication: You must provide a link to your online publication with your name or title appearing in an editorial capacity. Also provide details of the monthly page views and number of e-mail newsletter subscribers
Print Publication: You must provide a link to you print publication's companion Web site. Also provide details regarding the number of print subscribers.
Freelance Writers: You must provide a letter of assignment signed by the editor of the publication for whom you will be covering the event. In addition to filling out this form, please e-mail or fax letter to the number listed below.

Bylined Articles: *

Please provide links to one or more bylined articles written by you and published within the last 6 months) from an industry publication: If you need to fax a copy of an article, please fax to the number listed below

Comments & Questions:

* Denotes required field

Fax or E-mail Supplemental Information to
Lisa DiGiacomo
Marketing & PR Associate
Jupitermedia Corporation
FAX: 203-547-6088
press@jupitermedia.com

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JupiterImages, JupiterWeb and JupiterResearch

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