Media Request Form

MEDIA REQUEST

  • CONTACT PERSON

  • Please provide the name of the person who will be the contact for this request, if different
  • Please provide the name of the person filling out this form.
  • REQUEST INFORMATION

  • Please provide the name of the organization who is generating this request (The origin of request is usually the company or publisher who is filling out this form).
  • If different, please provide the name of the publication or organization who will be publishing the final work (the magazine, newspaper, TV show, radio program, etc.)
  • DATE AND DEADLINE INFORMATION

    Please choose the date the interview needs to take place.
  • :
    PLEASE USE PST. If the interview must happen at a specific time (I.e.: live on radio) please specify, using Pacific Standard Time (Seattle).
  • What date do you need us to respond to this request by?
  • TYPE OF REQUEST

    Please specify the type of request and who you would like interview.
    Please check all that apply. If OTHER, please note below.
  • BACKGROUND INFO

    Please provide some more information on the background of the publication and specifics of this request.
  • Please give us a brief overview of the request.
    When possible we prefer to do written or phone interviews, and can also do video interviews in studio remotely.
  • Please provide as much detail as possible on the publication, their views and goals and when available the name of the reporter or interviewer of the stipulated Publication/Organization.
  • Please provide us with as much statistical information on the publication or program as possible (age, gender, type of reader/viewer, religious views, # of readers/viewers, etc.)
Contact Us

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