Media Pass Application Form
| Person #1 | ||
| Name: | _____________________________________________________________ | |
| Address: | _____________________________________________________________ | |
| _____________________________________________________________ | ||
| E-Mail: | _____________________________________________________________ | |
| Person #2 | ||
| Name: | _____________________________________________________________ | |
| Address: | _____________________________________________________________ | |
| _____________________________________________________________ | ||
| E-Mail: | _____________________________________________________________ | |
| Company/Publication Name: | ________________________________________________ | |
| Mailing Address: | ________________________________________________ | |
| ________________________________________________ | ||
| E-Mail: | ________________________________________________ | |
| URL: | ________________________________________________ | |
| Expected Day(s) of Attendance: | ________________________________________________ | |
| Please include a brief description of your publication or web site including size, circulation, target audience, the amount and type of coverage you are interested in providing, and any other information that would be helpful in processing your application. | ||
| _______________________________________________________________________ | ||
| _______________________________________________________________________ | ||
| _______________________________________________________________________ | ||
Deadline for submission: postmarked by May 7, 2005.
Address to send completed application forms:
or
Anime North 2005
762 Upper James
Suite 127
Hamilton, ON
L9C 3A2
Fax: 905-383-7770 Attn:
Anime North Suite #127
Please
forward any problems, corrections, or
broken links in this site to webmaster@animenorth.com
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