DIAA Media Credentials Request

Media Organization Information

Media Organization *

Media Organization Tax ID Number *

Email for Press Release Email List *

Address Line 1 *

Address Line 2

City *

State *

Zip *

Business Phone Number *

Supervisor Name *

Supervisor Email *

Twitter Handle

Instagram Handle

How many media credential passes are being requested? *

Please indicate which sport(s) requested: *

Method of Delivery *

Name 1 *

Name 2

Name 3

Name 4

Name 5

Comments

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