*First
name
*Last
name
*Full
name: (As it appears on your drivers license.)
*Name
as you would like it to apear on your name tag.
*Title
*Company
*Physical
address (for overnight mailings)
*City
*State
*Zip
*Mailing
Address
*City
*State
*Zip
*Daytime
phone w/area code
Home phone w/area code
Fax with area code
*E-mail
Indicate if you are a member of:
Have you attended a press tour with
Georgia Turner Group in the past?
If "yes",
when and/or what tour did you take?
If "yes"
and if publication outlets have changed
since attending one of our tours, please list publications, newspapers
and other media outlets you have contributed stories.
If "no,"
(you've never been on one of our media tours) please fill out the following
information and click on "submit" below.
Have you attended a press tour with
another agency or travel destination host in the last two years?
If "yes",
approximately when and who was the contact?
What publications or media outlets
do you represent or write/photograph for at this time:
What are your specialty(ies) of
interest for writing/photography (Family Travel, Cruises, Outdoor, General
Travel, Special Event, etc.)?:
T-shirt size (select one)
Do you smoke?
Special diet Requests
I need:
Do you qualify for a senior's (age
62 or older) discount for air travel?
Flight arrangements
If you indicate full rate and prefer to
make your own arrangements, please provide us with your flight schedule
so we can arrange to pick you up.
Departure date
Airport of departure (List top two
airport options (if available) in order of preference.
1.
Departure date from media tour
Destination airport
PLEASE NOTE: Flight
changes will be very difficult (and may not be possible) to obtain within
two weeks of any tour. Georgia Turner Group will make your flight
arrangements with the airline that best fits your travel schedule. We
will make every effort to accommodate your requests. If changes to your
flight are necessary, you will be notified immediately.
List any special requests (interviews,
personalities, extra research, etc.) you may have regarding your story
and/or photography assignment(s)
Additional Comments
Please provide the names and phone
numbers of at least two editors/publishers that will confirm your employment
or contribution to their publication(s):
#1 Name
Publication(s)
Phone/E-mail
#2 Name
Publication(s)
Phone/E-mail
Yes, I'm interested
in attending one or more of your future media tours. As indicated below,
please reserve a spot for me so I can be qualified and confirmed.
