Name
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First Name
Last Name
Email
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Client(s) You're Interested In
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Name of Publication and/or Links to Social Media Channels
Description of Story and/or Content Angle
Date(s) of Requested Stay or Visit
Is this a Confirmed Assignment or Social Media Campaign?
Is Transportation Assistance Needed?
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Allergies and/or Dietary Restrictions?
Links to Work Examples (within the past 6 months only)
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