PRESS ACCREDITATION FORM

If you are outside of North America please use the International Press Accredation form.

Information must be completed in FULL
Name of Organization
First Name of Applicant
Job Title
Last Name of Applicant
EMAIL ADDRESS
ADDRESS (NO P.O. BOXES PLEASE)
CITY
STATE/PROVINCE	Choose From List AL - Alabama AK - Alaska AZ - Arizona AR - Arkansas CA - California CO - Colorado CT - Connecticut DE - Delaware FL - Florida GA - Georgia HI - Hawaii ID - Idaho IL - Illinois IN - Indiana IA - Iowa KS - Kansas KY - Kentucky LA - Louisiana ME - Maine MD - Maryland MA - Massachusetts MI - Michigan MN - Minnesota MS - Mississippi MO - Missouri MT - Montana NE - Nebraska NV - Nevada NH - New Hampshire NJ - New Jersey NM - New Mexico NY - New York NC - North Carolina ND - North Dakota OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VT - Vermont VA - Virginia WA - Washington WV - West Virginia WI - Wisconsin WY - Wyoming - AB - Alberta BC - British Columbia MB - Manitoba NB - New Brunswick NF - Newfoundland NS - Nova Scotia NWT - Northwest Territories ON - Ontario PE - Prince Edward Island QC - Quebec SK - Saskatchewan YT - Yukon Territory
COUNTRY	If you are outside of North America please use the International Press Accredation form.
ZIP / POSTAL CODE
PHONE
FAX
WEBSITE
ALTERNATE CONTACT (IF APPLICABLE)
TYPE OF PUBLICATION (MAGAZINE, ONLINE MAGAZINE, GAMING SITE)
READERSHIP/VIEWERS/HITS/TRAFFIC
CIRCULATION (DAILY,WEEKLY,MONTHLY)
DO YOU HAVE AN Xbox DEBUG UNIT?	YES NO
DO YOU HAVE A NR READER?	YES NO
GENRE YOU ARE INTERESTED IN
PLATFORMS
TYPES OF MATERIALS YOU ARE LOOKING FOR (GAMES, SCREENS, DEMOS, TRAILERS ETC.)
ARE YOU INTERESTED IN PREVIEW MATERIALS?
ADVERTISING AND SPONSORSHIP REQUESTS