Media Assistance / Press Pass

Journalist Information

* First Name
   
* Last Name
   
* Email
   
* Phone
   
* Address
   
   
* City
   
* State
   
* Zip
   
Country
   

Media Outlet Information

* Are you on assignment?
    Yes
    No
What is the name of the media outlet?
   
Phone
   
Circulation or audience
   
Websites of Media Outlet
   

Address of media outlet

Address
   
   
City
   
State / Province/ Region
   
Country
   

Please provide the name of the person who can confirm your assignment (editor or producer):

First Name
   
Last Name
   
Telephone number of person to confirm assignment:
   
E-mail of person to confirm assignment:
   
If you are not on assignment, please send us web links to your published work, or mail us paper copies:
   

Trip Information

* Confirmed Date of Arrival
   
* Confirmed Date of Departure
   
* Hotel arrangements needed?
    Yes
    No
If complimentary arrangements are not available, will you accept a press rate?
    Yes
    No
If yes, will you mention the hotel in your story?
    Yes
    No
Are you flying in or driving to the area?
    Flying
    Driving
Is there a particular type of wine you are interested in?
   

If yes, what rate range (in $US):

Minimum Hotel Rate
   
Maximum Hotel Rate
   
* Type of story planned:
   
Names and titles of all people in your party (including yourself):
   
* Special interests (such as shopping, dining, budget, seniors, spas, family, etc.):