Media Accreditation Form

Telephone:

Cluster of WSIS-Related Events 2008
13-30 May 2008, Geneva, ITU HQ and UN HQ

Please read the Media Accreditation Procedure before submitting this form!

* = Required Field

Contact Information:

Mr Ms

* First Name:

* Last Name:

* Job Title:

Attendance:

I will cover the Cluster of WSIS-related events 2008 on-site remotely

* Name of media organization (publication, Radio/TV station, News Wire service):

* Country of Parent Company:

Full address of media organization:

* Address:
PO Box:
* Postal Code:
* City:
State / Territory:
* Country:

Address where documentation should be sent, if different, from above:

Address:
PO Box:
Postal Code:
City:
State / Territory:
Country:

Preferred language for documentation English French

Media Category:

Daily Press
	General Correspondent
	Technology Correspondent
	Business Correspondent

	Trade press
	Business press
	Online publication
	News Wire service

	TV Station
	Radio Station
	Photographer
	Industry Analyst

I am accredited at the United Nations in: New York Nairobi Geneva Vienna

Data Privacy:

These details will form part of the Media & Analyst List which is on-line and password-protected for the officially designated media representatives of our participants only. Please tick this box if you do not want your contact details to be made available.

By default, accredited media are placed on the ITU media information mailing list. Please tick this box if you do not want to continue receiving ITU media information after the Event.

Direct link to bylined articles / editorial staff listing:

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