Media Credentials Online Form

Note: Please fax a copy of the Credential issued to you by your media company to: (907)543-6007

	Accreditation Category WP: Written Press PJ: Photo Journalist BTV: Broadcast TV R: Radio CTV: Cable TV Media Organization/Company Media Representative Address City State AL AK AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Phone Fax E-mail Media Coverage Orutsararmiut Tribal Welcoming with Chief Peter Jacob & Bethel Mayor Joseph Klejka Cultural Center GENERAL Listening Session Cultural Center Break-Out Sessions -- please check ONE: Interior Agriculture Energy Education Housing and Urban Development Hooper Bay Clinic & Housing Complex Tour with H.U.D. Secretary Please indicate other: