Video Publications Television

Media Registration Form

Application deadline September 1, 2007

*Contact First Name:
*Contact Last Name:
*Address 1:
Address 2:
*City:
*State:
*Zip/Postal Code:
*Country:
*Phone:
*Cell:
*Fax:
*Email:
*Company You Are Representing :
*Company Website :
Date of Arrival :
*Required fields
Please check the appropriate box(es):

Type of Media:

Photographer
Newspaper
*Freelance


*ADDITIONAL INFORMATION FOR FREELANCE MEDIA:

Freelance writers and photographers are welcome at GML 2007 and must be on assignment from a recognized media outlet. Your editor or publisher must confirm your assignment by sending us an email or by letter on company letterhead mailed to:

         Media Credentials
         GML2007
         3951 Merlin Drive
         Kissimmee, FL 34741
         Media@GML2007.com

Your final press credentials will be processed immediately upon confirmation of your assignment. Credentials will be issued onsite at the media center for the GML.

PLEASE SIGN AND DATES THIS AGREEMENT:

Signature Date

By submitting this form you agree to the terms listed above.