MEDIA PASS APPLICATION – Tejano Music Recording Academy

Company *

Website / URL *

Media Type *

Contact Name *

Title *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

* Access to show will be controlled access

Do you plan to cover Red Carpet?

Do you plan to cover Media Room?

Link to at least three (3) recent and relevant articles/coverage *

Full Name

Attendee #1

Title

Attendee #1 Title

Full Name

Attendee #2

Attendee #2 Title

Media Personnel Agreement, Waiver, Release, and Acknowledgement

I read the full terms and conditions of the media personnel agreement, waiver, release, and acknowledgement

Signature

Title