DEPLORABALL Press Access Request Form

Please provide the following information so that we may process your media pass for the Gays For Trump Inaugural DeploraBall Gala by 5PM EST on Wednesday the 18th of January, 2017.

Time and Space are illusions, but for this event.. they are limited.

Please respond to this form by end of business day (5:00pm EST)
Friday January the 13th, 2017.
Media Outlet
*
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Name
*
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Business Phone Number
*
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Business Address
*
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City
*
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State
*
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Zip Code
*
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Type of Media
*
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Website URL
*
Please enter a valid URL
Detail Circulation Numbers
Detail Monthly Unique Visitors
*
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Describe Your Audience
*
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Job Title
*
If other please list and describe
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Assigner's Name
if different than Media Applicant for accreditation purposes
Twitter Handle
*
@
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Facebook URL
*
Please enter a valid URL
Detail your Intended Coverage of the Gays for Trump DeploraBall
*
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Additional Notes/ Information reguarding this application
*
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A Copy of Issued Photo ID
*
Must be valid and current
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Digital signature
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Submit

Thank you.

Once verified and approved you will receive confirmation via email.
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