Media Request

Fields marked with an asterisk(*) are required.

Media Profile
First Name:*
Last Name:*
Title:*
Media Type:
Publication / Network:*
If Freelance, please list media outlets.
Media Outlets:
Address 1:
Address 2:
City:*
Province/State:*
Postal/Zip Code:*
Country:*
Phone #:*
Fax #:
Email:*
Accomodation Request
Arrival Date
Departure Date
Media Names First Name:
Media Names Last Name:
Media Names Title:
Total Number in Party:
Crew Member First Name:
Crew Member Last Name:
Story Focus:
Story Length:
Publication Date / Air Date:
Market Coverage / Audience Demographic:
Circulation / Audience size:
Advertising Value (CAD $):
Coverage for the Hotel (Yes/No):	YES NO
(i.e. Will 1-866-659-9445 or www.sidneypier.com be included?)
Are you on Assignment? If so, please upload an assignment letter from your Editor.
Freelance Assignment Letter:
Specific Services Required:
Specific requirements or services requested.(maximum 500 Characters)
The Sidney Pier Hotel & Spa is committed to ensuring your privacy. Any information you share with us will remain confidential and will not be issued to any third parties without your prior consent.