Registration Form
Company Name:
*
First Name (given name):
*
Last Name (surname):
*
Company Street Address:
*
City:
*
State:
*
Country:
*
Zip/Postal Code:
*
Province:
E-mail:
*
Website:
(Important for faster processing)
Direct Phone:
*
Direct Fax:
01.
WHAT MARKET(S) DO YOU COVER? (mark all that apply)
*
American V-Twin
Dirt Bike
Scooter/Moped
Streetbike/Touring
ATV Sport
Go Kart
Snowmobile
UTV/Side x Side
ATV Utility
Metric V-Twin
Sportbike
Watercraft
02.
TYPE OF MEDIA (mark all that apply)
*
Magazine
TV (Cable)
Radio
Trend Letter/Newsletter
Newspaper
Internet
Newswire
Blogger
TV (National/Regional)
03.
JOB TITLE/PRIMARY RESPONSIBILITY
*
===Please Select===
Editor
Editor-In-Chief
Freelance editorial (must show recently published credit)
Photographer/Camera Technician
Producer
Publisher/Associate Publisher
Reporter
Stylist
Writer
04.
WHICH BEST DESCRIBES YOUR MEDIA OUTLET?
*
===Please Select===
Consumer
Trade
05.
WHICH HOTEL WILL YOU BE STAYING AT?