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Media Request for Survivor Cards
For all media requests or resource addition requests for Survivor Cards.
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* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Phone #
Your answer
Email
*
Your answer
Media Outlet or Company
*
Your answer
Role
*
Choose
Editor
Journalist
News Director
Producer
Reporter (TV)
Researcher
Student
Other
Type of Outlet
*
Choose
Online
Print
Radio
Television
Other
Please provide important details regarding the story you're working on, specific information, resource addition request or questions for Survivor Cards
*
Your answer
Deadline Date
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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