ASAPA presents

Animethon 25

Aug 10 - 12 / 2018 Shaw Conference Centre Edmonton Alberta Canada
/ Contact / Media and Relations Form

Media & Relations Form

Submit this form if you represent a media outlet, convention, community group, sponsor, advertiser, etc and would like to make a request of the event. Please provide as much information as possible, thank you.
Contact Information (of representative)
First name:

Your legal given name as on government issued ID

Required
Last name:

Your surname as on government issued ID

Required
Email:

A valid email address so we can contact you

Required
Phone:

Your preferred phone number

Required
Contact Pref:

Your preferred contact method

Required
Further Information
Name:

Your name or organisation name

Required
Type:

Your profession type or organisation type

Required
Website:

Please provide a link to your Website

Recommended
Social Media:

Your social media address

Recommended


Description:
A short description of your activities or organisation.
If you answered "other" in any option above please provide details here

Required
Request Information
Passes:

If requesting passes please say how many

Optional
Exhibitor Space:

Request space in the exhibitor hall?

Optional
Community:

Request space in community corner?

Optional
Sponsorship/Advertising:

Request sponsor or advertiser information?

Optional
Interview/Information:

Request an interview with event or need event info?

Optional
Guest Interview:

Request an interview with a guest?

Optional
Referred By:

Who put you in touch with Animethon/ASAPA?

Recommended


Additional Information:
Anything else you'd like to add to assist us in our assessment of your application?
Recommended
Signature of Applicant
I agree to abide by all Animethon policies.

I hereby grant permission to ASAPA and Animethon send me promotional emails related to the current and future events. I understand I can be removed from the mailing list upon request.

Signature

Use finger or mouse to sign recognisably, use the whole area.
Clear


Printed:

Please type your name

Required


Date:

Date



Please note: All applicants must be 16 and over.

Required We require this information in order to proceed.
Recommended While we do not require this information it would definitely assist us which could in turn help you.
Optional We do not require this information but we may find it helpful.