Media Assistance Request Form

First Name*:

Last Name*:

Company*:

Mailing Address*:

City*:

State*:

Zip/Postal Code*:

Country*:

Phone*:

Fax:

Email*:

Preferred form of contact:

When would you like to visit the Mat-Su Valley:

How can we assist your visit?:

Activities
Attractions/Events Passes
Customized Itinerary
Dining
Interview Arrangements
Overnight Accommodations

In which media do you publish:

Consumer Magazine
Group Travel Magazine
Internet
Meetings Magazine
Newspaper
Radio
Television

Type of story planned:

Special Interests/Area of Specialty*:

Additional Requests/Comments/Questions: