P. O. Box 70658 · Las Vegas, Nevada · 89170-0658
Telephone (702) 262-6800 · Facsimile (702) 262-6801

MEDIA CREDENTIALS REQUEST
Your privacy is always important. Your information will not be shared, sold or exchanged with anyone else.


EVENT:
FIRST NAME*:
LAST NAME*:
MEDIA AFFILIATION*:
MAILING ADDRESS:
ADDRESS LINE 2:
CITY:
ST:	ZIP/POSTAL CODE:
COUNTRY:
PHONE:
SECONDARY PHONE (cell/home):
EMAIL ADDRESS*:
EMAIL ADDRESS* (confirm):
PRINT MEDIA	INTERNET MEDIA	BROADCAST MEDIA
Deadline/Primary Writer	Primary Correspondent	On Air TV Sports Reporter
Columnist/Features writer	Secondary Correspondent	On Air Radio Host or Talent
Photo Editor/Runner/Tech	Still Photographer*	Producer
Still Photographer*		News Camera/Radio Tech
*(bring 200mm lens or larger)
(You will receive an e-mail acknowledgement shortly)
ROOM RESERVATIONS: A limited number of rooms are available at a news media rate of week nights () and weekend nights (). To request reservations, call and refer to group code . Rooms reserved by individuals not granted confirmed news media credentials will be canceled without notice. CREDENTIAL PROCESS: This request form, *along with a required Letter of Assignment from your Sports Editor or tv/radio station News Director,* may be e-mailed to: credentials@magnamedia.com, faxed to 702-262-6801 or mailed to the address below prior to . Responses will be e-mailed on . To support your request on behalf of your publication or station, feel free to send recent samples of your boxing coverage to the addresses (physical or e-mail) below.

MEDIA CREDENTIALS REQUEST