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MEDIA REGISTRATION
A registration is needed for each individual covering the Annual Legislative Conference
After Sept. 10 you must register onsite.
Salutation
Mr.
Mrs.
Ms.
Dr.
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Contact First Name *
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Contact Last Name *
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Title *
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News Organization *
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City *
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State *
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Zip *
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Phone *
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Fax
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E-mail address *
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Confirm E-mail address *
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Days your News Organization would like to attend:
15th
16th
17th
18th
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Please select
up to four
CBCF events your outlet would like to cover:
EVENT PREFERENCE DOES NOT GUARANTEE ENTRANCE – TICKETED AND SMALL VENUE EVENTS ARE SUBJECT TO CBCF APPROVAL:
News Conference (September 15)
Celebration of Leadership (September 15)
Town Hall Meeting (September 16)
CBCF Alumni Series (September 17)
CBCF Alumni Series (September 18)
Prayer Breakfast (September 18)
Awards Dinner (September 18)
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How many times have you attended ALC?
This is my first time
2 to 5 times
5+
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Would you be interested in attending a private media reception during ALC?
Yes
No
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Over the past few years, has your outlet’s coverage of ALC increased, decreased or stayed the same?
Increased
Decreased
No Change
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Please send me press releases and media advisories as they become available
Yes
No
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Requests for specific technical needs must be submitted in writing to Muriel Cooper at info@cbcfinc.org
* This field is required.
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