| Name: |
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| Position |
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| Spoken Languages: |
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| Direct Lines: |
Telephone:
Fax: |
| Email: |
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| Name Of
Publication or Station |
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| Language of
Publication / Programme: |
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| Address: |
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| Publication/Programme
Frequency: |
If Other: |
Check the following boxes if they apply: |
|
International
Media
National Media
Regional Media |
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Magazine
Newspaper
Newsletter |
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Specialized
Media
General Media
Trade Media |
|
Media
Agency
Photo Agency
Television Network |
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Radio
Web or
Internet |
| For TV/Radio:
Please specify name, date and time of broadcast: |
|
| What is your
specialty: |
( Rock, Jazz, R&B, Salsa, Merengue,
Dancehall, Pop, Rap, Reggae, Hip-Hop, World Music, Soca or Other (state) |
|
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|
Applicant may be required to submit evidence of
coverage of CME prior to receiving accreditationdo i have to come out of
frontpage to edit another form
|