Editor's Name:
Editor's email address:
Below, fill out the names and jobs for those who wish to receive credentials
Affiliation:
Applicant 1 & Job at Event
Applicant 1 email:
Applicant 2 & Job at Event
Applicant 2 email:
Applicant 3 & Job at Event
Applicant 3 email:
Your phone number:
Hotel accommodations - Bally's Media Rate - Saturday $179, Friday $99
Name for Room request and
check-in day:
Comments: