World Cup Press Accreditation Form

This credential application is for the sole use of the working news media assigned to cover this event.

First Name *		Last Name *
Mailing address *
City *		State *	Zip *
Country		Web site
Business phone *	Fax	Local number	Email *
Media affiliation		Media Type
Arrival date (mm/dd/yyyy) *		Departure date (mm/dd/yyyy) *
Check here to be updated on information during the event via email. Check here to be considered for an on-hill photography credential.
Please list below any special requests

Proof of assignment is required for writers, photographers, radio and Internet reporters in order to be considered for credentials.