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Press Accreditation
! REQUIRED FIELDS !
Deadline: Wednesday July 12th
Data
Media
!
Type:
Daily newspaper
Weekly newspaper
Magazine
Radio
TV
Technical support staff
Street
!
N°
!
Postal Code
!
City
!
Country
!
Phone
!
Mobile
!
Fax
!
E-mail
!
Desired accreditation for:
News agency
Print Media
Photography
Freelance
Website
Name/ID of Person(s) to accred:
Person 1
Person 2
Person 3
Last Name
!
First Name
!
Gender
make a choice
Male
Female
!
make a choice
Male
Female
make a choice
Male
Female
Function
make a choice
journalist
radio reporter
TV commentator
photographer
technical support
!
make a choice
journalist
radio reporter
TV commentator
photographer
technical support
make a choice
journalist
radio reporter
TV commentator
photographer
technical support
AIPS Card N°
!
National Sports
Press Card N°
!
Passport/ID N°
!
"Alle informatie is bestemd voor octagon cis. Zij mag evenwel doorgegeven worden aan de partijen die contractueel verbonden zijn met octagon cis. De wet van 8 december 1992 i.v.m. de bescherming van de persoonlijke levenssfeer t.o.v. gegevensverwerking voorziet het toegangsrecht tot de gegevens en het verbeteren ervan."
