JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
National Action Network 2024 Annual Convention media credentialing form
Please read the following carefully:
Media credentials for the National Action Network 2024 Annual Convention (
April 10th – April 14th) at the Sheraton New York Times Square Hotel (811 Seventh Ave. New York, NY 10019)
will be issued to members of the media.
Please fill out the below registration form to be considered for media credentials to the NAN convention.
You will receive an email when you are confirmed to attend, with more information on the convention.
For security purposes, you must register no later than 5 p.m. on Tuesday, April 9th. If you have any questions, please email
nanmedia@actumllc.com
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Reporter
name
*
Your answer
Media outlet
*
Your answer
Media outlet website
*
Your answer
Phone number
*
Your answer
Medium
*
TV
Print
Radio
Digital
Will you need access to a Multi Box?
*
Yes
No
Additional needs
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of ataranto's Workspace.
Report Abuse
Forms
