Acreditare - Timisrally.ro

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Timis Rally - Realitatea TV 2009 (24-25 aprilie 2009)

FORMULAR DE ACREDITARE PRESA Date jurnalist Nume Prenume

__________________ __________________

Canal media (se bifeaza) □ revista de specialitate □ presa scrisa □ radio □ TV □ internet □ freelancer □ altul (se precizeaza) _________________ Functie __________________ (ex: redactor, fotoreporter, corespondent, etc) Contact personal Tel. _____/_____________ Fax _____/_____________ e-mail ___________________ Contact profesional Tel. _____/_____________ Fax _____/_____________ e-mail ___________________ La ce adresa de e-mail / numar de fax se doreste primirea informatiilor (se bifeaza varianta preferata) □ personala □ profesionala Data completarii ___/___/_________

Semnatura ____________

IMPORTANT: Se vor lua in considerare doar formularele completate cu toate datele solicitate. Contact presa: Eugen Cocea 0722-400.444 ; [email protected]

www.timisrally.ro

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