Media name Media type ---TVAgencyRadioNewspaperMagazine If needed, specify channel and program Description of the planned media coverage (specify estimated length/duration) Publication or retransmission date Media frequency Media distribution (national, regional or local). Specify your country detailing region and city if appropriate: Media audience Media circulation or reach Media registered address Media phone Media e-mail Media website Applicant’s name and surname Applicant’s ID or Passport Applicant’s position Applicant’s phone Applicant’s e-mail Upload a file Previous published or broadcasted information and server or link where we can download the coverage (images, video, audio or web information). Also, you can send the files by e-mail to: tescuadreny@circuitfestival.net To be taken into consideration, it is essential that you fill out all the fields of this form. If you don’t have all the details, an estimate will be also accepted. By filling out this form, you certify that the information submitted is true and commit to giving media coverage. SPONSORS: SPONSORS: