Press Credential Application 2015 ASCAP FILM & TV MUSIC AWARDS Monday, March 9th, 2015 Company Name: Name: Address: City: State: Telephone: Email: Zip: Outlet Type: (check one box only) □ Newspaper □ TV □ Magazine □ Radio □ Newsletter □ Photo Agency □ Website/Blog (provide URL): □ Newswire Briefly describe your intended type of coverage: Please complete a separate credential request box for each member of your outlet, and indicate his or her functions. If you need additional credential request boxes, please print additional copies of this form. CREDENTIAL REQUEST #1 Full Name Phone Number □ Print Reporter □ Television / Video Crew □ Online Reporter □ Radio Producer / DJ □ Still Photographer □ Equipment Technician CREDENTIAL REQUEST #2 Full Name Phone Number □ Print Reporter □ Television / Video Crew □ Online Reporter □ Radio Producer / DJ □ Still Photographer As a condition of receiving credentials to the 2015 ASCAP Film & TV Music Awards, I agree to send tear sheets or a copy of my coverage as soon as possible following the event. PLEASE RETURN THIS FORM TO: **Include sample publication with previous or comparable coverage** Bobbi Marcus PR & Events, Inc. Attention: Kelly MacGaunn 131 N. Bundy Drive Los Ángeles, a.C. 90409 Tel: 310-889-9200 Email: kelly@bobbimarcuspr.com