2001 FAMILY CIRCLE CUP

APRIL 14-22, 2001

APPLICATION FORM FOR MEDIA CREDENTIALS

 

MEDIA OUTLET (Please Print) : __________________________________________________________

 

Mailing Address:  _______________________________________________________________________

 

City: __________________  State: ___________   Country:  _____________ Zip/Postal Code: __________

 

E-Mail Address for FCC Information: ________________________________________________________

 

Phone: (Day)_____________________ (Night) _______________________  Fax: ____________________

 

Check One:

 

___   Daily Print      ___    Wire Service              ___    Radio Station     ___ Other (Describe Below)

___   Weekly Print     ___    Television Station     ___     Freelance             ___________________________     

___   Monthly Print     ___    Cable Station             ___     Internet                          ___________________________

                                   

Circulation for Print Outlets:   _______________________

 

ASSIGNED REPRESENTATIVES TO BE CREDENTIALED:

Name & Title (Please print):                                                                    Dates Required (please circle)

 

1.   _________________________________________       April   14  15  16  17   18   19    20   21   22  

2.   _________________________________________       April   14  15  16  17   18   19    20   21   22  

3.   _________________________________________       April   14  15  16  17   18   19    20   21   22  

4.      _________________________________________       April   14  15  16  17   18   19    20   21   22  

5.      _________________________________________       April   14  15  16  17   18   19    20   21   22  

6.      _________________________________________       April   14  15  16  17   18   19    20   21   22  

 

Previously accredited and when:   ___ Yes  ___ No              Year (s)  _____________

 

ASSIGNMENT APPROVAL:

 

Name of Media outlet:  _______________________________________________

 

Name & Title of Supervisor:   __________________________________________

 

Telephone:  ________________________     Fax:  _________________________

 

TOURNAMENT SERVICES:   Would you like the daily results and match schedules sent to your media outlet on a daily basis. Yes ___ No ญญญญญ____  If yes, please select how the information should be sent:

 

Fax Number: ________________________   E-mail Address: _______________________________

 

EQUIPMENT

Writers                                                            

____   I would like a private designated phone line