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2010 Media Accreditation Form

Ottawa Race Weekend - May 29 to 30, 2010

Media Information

Name of Media Organization*:  
Name of Program/Column:  

Type of media:

(check all applicable):
Newspaper Radio Magazine
Online TV Blog/Twitter

Accreditation Request

Media passes (total number requested for reporters)*:  
Photographer/cameraperson passes (total number requested for photogs/cameras)*:  

Note: both passes grant access to all public sites, the elite athlete tent, and the media room.

Special Access

(indicate the number of passes requested for each, and whether you’re a reporter or photographer/cameraperson):

Lead Truck Finish Line  
Start Line Media Bridge  

Note: Access to the special areas is limited and not every request will be granted. Someone will communicate with you in May to let you know whether your request has been granted.

Language of media

(check all applicable):   
English French Other

Contact Person

(if requesting more than one pass, please use the name of the Run Ottawa contact in the newsroom)

First Name*: Last Name*: Title:
Address: City: Postal Code:
Telephone*: ext.: Fax:
Cell Phone: Email*:
Parent or Associated Media Company (if applicable):