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Category:

Art
Business
Multicultural
Food
General Interest

Recreation
Sports
Travel
Local Media Distribution List
International Media

Region:

Physical Country:

Applicant's First Name*:

Applicant's Last Name*:

Title:

Email*:

Yes, please email me.

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Notes:

Company Address:

City:

State:

Zip:

Company:

Medium:

Department:

Website:

Primary Phone:

Primary Phone Ext:

Mobile Phone:

Name of Media Outlet:

Relationship to Media Outlet:

Assigning Editor Name:

Assigning Editor Primary Phone Number:

Assigning Editor Email:

Arrival Date:

Date for Your Visit

Departure Date:

List the additional people in your party:

(Please include First Names, Last Names and Titles)

Hotel Arrangements Needed?:

Yes No

Will you include your Host Hotel in your media coverage?:

Yes No

Type of Host Hotel Media Coverage:

Please describe the type of media coverage the hotel will receive.

If a Host Hotel is NOT available, will you accept a press rate?:

Yes No

Range: Hotel Press Rate (USD):

Room Type Preferred:

Double
Single

Type of transportation while in Guam:

What type of transportation do you plan on using while in Guam?

Media Outlet Website:

Website Type:

Blog
E-Magazine
Retail
News

Unique Visitors per Week:

Top Channels Delivery:

Do you need to schedule interviews?:

Yes No

Interviews with Whom:

Will you link to VISITGUAM.COM?:

Yes No

Visitor Measurement:

Other
Retail
Service

Site's Top Advertisers:

Go Live Date:

Anticipated Media Coverage Time:

Anticipated Volume:

$

Use of Digital Promotional Material:

Will you provide your media coverage content to the Guam Visitors Bureau for future promotional use at no cost?

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