MEDIA RADIO REGISTRATION

For Festival Coverage Only

Publication/Outlet Name/Media Name: *

Editor-in-Chief: *

Editors Email: *

Editor Phone Number: *

Publication/Media Website: *

When will your story be posted ? *

Circulation: * How often does your media publish news?

Distribution * Where can the publications can be accessed?

Unique visitors per month: * (for web outlets-not page views) write N/A if does not apply

What are you pre, during and post coverage plans for the festival? *

Full Name: *

Job Title *

ID Number *

Email *

Phone Number *

Home Address *

Upload your
photograph * Photograph must be in JPG format, max file size is 200kb.
Photo requirements : Head Shot photo, no sunglasses or hat

Upload your
Official Press ID * Press ID must be in JPG format, max file size is 200kb.

Upload your
ID (KTP, Passport, SIM) * Press ID must be in JPG format, max file size is 200kb.