2014 ys one event national media application form

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First found Nov 13, 2015

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2014 ONE EVENT NATIONAL MEDIA PASS APPLICATION FORM
Dear Applicant,
To assure proper processing of your request, please be sure to fill in the whole form (below), attach a
letter of referral from the media’s editor in chief and samples of press material featuring the FIM
World Championship events (pdf format is preferred). Applications must be received by no later than
2 weeks before the event at the contacts of the local organizer’s press coordinator.
Furthermore, please note the following points:
• The Media Pass will be released at the Organizer’s discretion. Approbations will be notified via
e-mail.
• The validity of the Media Pass is of the single event written on the pass.
• The Media Pass does not carry the right to film without Youthstream’s authorisation. For more
details contact Ms Charlotte Apparu, Youthstream’s TV General Manager, at
[email protected]
• The holder of the Media Pass agrees to abide by the rules, conditions and limitations imposed
by Youthstream and CMS/FIM to ensure the proper and safe running of the event.
• The designated holder of the Media Pass waives all rights and titles to any legal claim arising
from any accident or damage caused in conjunction with their presence at the event.
• Youthstream is the owner of the Media Pass, and have the right to withdraw it at any time
without previous notice.
• The use of the Media Pass is governed by the pass conditions boards displayed at the various
entrances to the track area. To enter the track, the designated holder must wear a bib or vest.
• The Media Pass must be presented in conjunction with valid identification papers upon
request.
• The granting of the Media Pass does not exempt the bearer from local laws and regulations.
• Holders of the Media pass will have to send the material published on the Grand Prix where
they have been accredited (pdf format is preferred) to Ms Samanta Gelli, Youthstream Media
Officer, to [email protected]
• Holders of the Media pass who have also been accredited to film will have to send the
material produced in the Grand Prix where they have been accredited in a video format
readable on Mac and pc to Ms Charlotte Apparu, Youthstream’s TV General Manager, to
[email protected]
• The Media Pass can only be used by the designated holder who acknowledges and accepts
the above conditions, and commits himself/herself to comply strictly with them.
We thank you in advance for your cooperation and understanding. Our goal is to issue Media Passes
to professionals only. This way we can ensure a professional working environment, and avoid any kind
of abuse.
Best regards,
Youthstream Media Department
RETURN TO: YOUTHSTREAM MEDIA OFFICER Ms. Samanta Gelli
Mobile: +33 6 88340024● E-mail: [email protected]
2014 ONE EVENT NATIONAL MEDIA PASS APPLICATION FORM
1. MEDIA
MEDIA NAME:
ADDRESS:
COUNTRY:
STREET:
CITY:
PHONE:
POST CODE:
+
COUNTRY:
FAX: +
(with area code)
(with area code)
E-MAIL:
WEB:
NEWSPAPER
PUBLICATION:
MAGAZINE
RADIO
ONLINE MAGAZINE
WEBSITE
NEWS AGENCY
TV PROGRAM
PHOTO AGENCY
TV STATION
TYPE:
GENERAL
SPORTS
MOTORSPORTS
BIKES
COVERAGE:
INTERNATIONAL
NATIONAL
REGIONAL
LOCAL
DAILY
WEEKLY
BI-WEEKLY
MONTHLY
OTHER
OTHER
(selling area)
FREQUENCY:
ISSUES PER YEAR:
CIRCULATION:
EDITOR IN CHIEF
FULL NAME:
PUBLISHING GROUP
NAME
OTHER
READERS PER YEAR:
EMAIL
PHONE (with area code)
+
WEBSITE
2. JOURNALIST
NAME:
SURNAME:
CATEGORY:
JOURNALIST
PHOTOGRAPHER
CAMERAMAN
TV TECHNICIAN
DAY
MONTH
OTHER
STREET:
POST CODE:
+
COUNTRY:
MOBILE: +
(with area code)
FAX:
RADIO TECHNICIAN
NATIONALITY:
CITY:
PHONE:
RADIO REPORTER
YEAR
BIRTH DATE:
ADDRESS:
JOU/PH
(with area code)
+
E-MAIL:
(with area code)
PREFERRED MAILING ADDRESS:
PROFESSIONAL
PERSONAL
IMPA MEMBER:
YES
NO
3. ADDITIONAL INFORMATIONS FOR AGENCIES AND FREELANCE JOURNALISTS
Publications supplied with text/photos/videos. Specify: name, type, coverage, frequency, circulation, editor in
chief, publishing group HERE
-
RETURN TO: YOUTHSTREAM MEDIA OFFICER Ms. Samanta Gelli
Mobile: +33 6 88340024● E-mail: [email protected]
2014 ONE EVENT NATIONAL MEDIA PASS APPLICATION FORM
-
RETURN TO: YOUTHSTREAM MEDIA OFFICER Ms. Samanta Gelli
Mobile: +33 6 88340024● E-mail: [email protected]

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