MEDIA CREDENTIAL APPLICATION

Please hit "Submit" to send the completed application. Please list all personnel for whom you are requesting credentials and their area of activity: (Reporter, Photographer, Broadcaster, TV Crew, Runner, etc.)

* Denotes Required Field

Name	Activity
*	*

Event	*
Media Affiliation
Desired Media Position	*
Address
Phone #s	*
State
Zip Code
E-Mail Address	*
Signature	* In lieu of a signature please type in your FULL NAME.

Credential Inquiries: 954-989-5600

TELECOMMUNICATIONS INFORMATION:

For your convenience, there will be a Wireless Router within the media area. However, if you are in need of an actual hard phone line, please check below.

Please be advised that this need may be subject to additional charges.

I am in need of a hard phone line:

Contact:

Cima Georgevich
Redline Media Group
5700 Stirling Rd., Suite #100
Hollywood , FL 33021

Office: 954-989-5600
Fax: 954-989-5830