Media Request Form

Please fill in the form below to send a media request.

Company:

Address:

Telephone:

Fax:

Email:

Main Contact Person:

Designation:

Mobile Number:

Company Industry:







Company Details

Brief Profile:

Coverage:

Distribution Areas:

Circulation | Readership | Viewers:

Previous Visits | Coverage:


Dates:

Details:

NOTE: Prior to any Filming or Photography in our properties, a "Standard Location Permit & IPR License Agreement" has to be signed

Request Details:

Proposed Dates:

Property of Interest:




Purpose of Visit:

Resulting Media Coverage (describe):

Commissioned Report:


Date of Expected Publication | Airing:

List of Participants

1

Name:

Designation:

2

Name:

Designation:

3

Name:

Designation:

4

Name:

Designation: