Travel Writer Request Form

Finger Lakes Media Hosting Request Form

Thank you for your interest in visiting the Finger Lakes region. In order for us to best assist you, please fill out the following information.

Name …………………………………… Gender (please circle or bold): Male or Female

Allergies/Dietary Restrictions______Preferred Level of Activity: High or Moderate or Low

Birthday______

Phone Number______

Website ______

Email ______

Social Media Handles______

Media Organization ______

Media Organization Address ______

Type of Media (Print, Blog, Radio, etc.) ______

Media Outlet Circulation/Monthly Readership______

Are you currently on a media assignment?______

Membership or accreditations to professional organizations ______

Last three travel stories published:

Destination ______Date______Publication ______

Areas of Interest (Please Circle or Bold All That Apply)

Arts/Culture/History Outdoor Recreation Culinary Family travel

Shopping Wine Golf Scenic Drives

Water Activities Festivals and Fairs

1 Desired Arrival Date ______Desired Departure Date______

Preferred Airport (Please Circle or Bold): Rochester or Syracuse or Ithaca

Desired Method of Transportation to the Region (car rental, your own car, etc.)______

Preferred Method of Travel While in the Region (drive yourself or be driven around)______

Will anyone be joining you? If so, how many? ______

What types of activities or attractions are you interested in? ______

Type of Lodging Requested (Camping, Hotel, B&B, etc.) ______

Room Preference (non-smoking, double, queen, etc.) ______

Number of Rooms Requested ______

Projected Date of Publication ______

I have read the Finger Lakes Tourism Promotion Agencies media hosting guidelines. I meet the qualifications and understand the guidelines.

Name ______Date ______

Signature ______