Media

Name of the event

Accreditation is valid exclusively for (select event date)

Name and surname

Date of birth:

Nationality:

Series and CI number

Phone

E-mail (only if it is different from that of the institution you represent)

The name of the media institution you represent

Address of the institution

The country:

The city:

Phone

Fax:

E-mail

The position you occupy within the institution:
EditorEditorReporterphotographerAnother position

Field of activity:

Media type:
Press agencyWritten pressRadioTelevisionAnother type of media

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