Media accreditation request form - XIIe Congrès mondial de Metropolis

Media accreditation

Prefix (Mr., Mrs., Dr., etc.) *

First Name *

Middle Name

Last Name *

Position *

Media / Organization *

Category

Note: Metropolis World Congress will provide an accreditation:

• To journalists working for a recognized media organization
• To freelancers whose claims are supported by a letter confirming their assignment by a recognized media organization

Address Line 1 *

Address Line 2

City *

State / County / Province *

Zip / Postal Code *

Country *

Work Phone / Extension *

Mobile Phone

Email Address

Where did you hear about the Congress?

What do you plan on reporting? *