UK and World Championships Media Credentials Application

Media Accreditation Form

Please Print and Send

UK and World Hip Hop Dance Championship

Please return to: UK Hip Hop Dance Championships 14 School Lane Bushey, WD231SR  Nix_short@idancestudios.com Must be received no later than June 2, 2011

World Hip Hop Dance Championships Laurence Cohen, Director of Media Relations  8033 Sunset Boulevard, #920 Los Angeles, CA  90046  Tel: 323.850.3777 Fax: 323.850.7795 E-mail:  hiphopworldwide@aol.com   After July 18 return to:     Championship Headquarters at the Red Rock Resort 11011 W. Charleston Boulevard Las Vegas, NV 89135 Fax: 323.850.7795

 

All media must be cleared in advance by Hip Hop International pub­lic rela­tions and issued an ID cre­den­tial for entry and access to the events.

NAME:                      

Last                                       First

 

ADDRESS:               

Street

 

City                                        State           Postal Code                    Country

 

PHONE: CELL: FAX:

 

E-MAIL:                   

SEX:   MALE□        FEMALE□     DATE OF BIRTH:

YOUR POSITION: JOURNALIST□ PHOTOGRAPHER□ TV/VIDEO & FILM□  OTHER:___

 

NAME OF MEDIA OUTLET:

ADDRESS:               

Street

 

City                                        State           Postal Code                    Country

 

PHONE: FAX: E.MAIL:

TYPE OF ORGANIZATION:    NEWSPAPER□   RADIO□   TELEVISION□  MAGAZINE□

A pho­to­copy of applicant’s cur­rent busi­ness card or press cre­den­tial must accom­pany this form.

FREELANCE (please list all publications/agencies who will be pub­lish­ing or broad­cast­ing your work):

If approved, applic­ant will be noti­fied and cre­den­tials provided.