MEDIA CREDENTIAL REQUEST FORM
PLEASE NOTE: THIS FORM MUST BE RETURNED BY OCTOBER 15 TO RECEIVE CREDENTIALS BY
MAIL.
1. Name:
2. Name of Organization:
3. Mailing Address:
4. Email Address:
5. I provided pre-event publicity and would like ___ (maximum of four) complimentary Infield tickets. One parking pass will be permitted per media organization. I would like ___ (maximum of four) working media credentials. One parking pass will be permitted per media organization.
6. I will provide race day coverage: (Circle one) Yes / No
7. Electronic media please indicate special needs (NOTE: electronic media allowed for news coverage only):
If you prefer to pick up at the Steeplechase Office in Columbus, please call 706-324-6252 to set an appt (before 5pm, Wednesday, October 31st) Office number is: 706.324.6252
If you prefer to pick up at Will Call, Will Call opens at 10am on Race Day.
RETURN THIS FORM TO:
The Steeplechase at Callaway
Attn: Jenn Agnew
PO Box 2311
Columbus, GA 31902
Phone: 706-324-6252
Fax: 706-324-3651