1.Journalist First Name & Surname

2.Organisation/Publication

3.URL of publication

4.Email address

5.Mobile

6.What is the size of your audience?

7.What are you seeking to gain/publish from attending the conference??

8.Will we be able to review the content before it is published?

9.Would you be willing to promote the conference ahead of time to help attract attendees if you were provided with a media pass? - if so how much marketing would you provide?

10.Any other comments