Media Request Form

Use this form to request additional Seattle information or press materials. If you wish to schedule a face to face meeting, please contact a staff member directly.

	Green = Required Info
First Name
Last Name
Title
Address line 1
Address line 2 (if needed)
City
State or Province (Note: Enter "NONE" if you live where this is non-applicable, or form will not submit)
ZIP or Postal Code
Country (If other than U.S.)
Area (or other required) Code(s) & Telephone
(Area (or other required) Code(s) & FAX
E-mail
How would you like us to respond to your request?	Email Phone Fax Regular mail
ABOUT YOUR MEDIA OUTLET:
Company/Media Outlet
Circulation/Audience
Type of media (check all that apply:	Newspaper Magazine Television Radio Other (explain below)
Explanation of "Other":
Materials needed:	Press Kit Visitors Guide Slides Calendar of Events Other (explain below)
Explanation of "Other":
Additional Comments/Questions: