Journalist Request Form

Writing about Loudoun? We would like to personally assist you with your article, assignment or finding the perfect location for your film/video and the services necessary to make production easy. Submit the journalist request form below and we will be in touch as soon as possible. To view our guidelines, please click here.

Journalist Information

First Name*:

Last Name*:

Journalist Type*:

Other, specify:

Address:

Country*:

Zip Code*:

City*:

State*:

Email*:

I would like to be contacted via email*:

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Mobile Phone Number:

Phone Number*:

Fax:

Project Publish Date*:

Story Line*:

Is this your first time visiting?:

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Assignment Secured?:

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Request Experiences:

Publication Names*:

Publication Frequency*:

Target Market*:

Website*:

Publication Phone Number:

Circulation/Audience*:

Please enter a number without commas

Lodging*:

Room Type:

Dietary Restrictions*:

Physical Restrictions*:

Additional Materials Requested:

Other
Photography

* Indicates a required field.

Journalist Request Form

Journalist Information

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