ACCREDITATION FORM

This service is reserved to media people.

press service
Uni-d-fox- Karine Devilder
13, Bayens 33570 Puisseguin- France
 tel:+33 (0)5 57 74 50 81- fax: + 33 (0)5 57 74 50 82
 e-mail:contact@unidfox.com


INFORMATIONS FORM

Company *:
Name *:
First Name* :
Function* :
Adress* :
Postal Code *:
City* :
Country* :
Phone* :
Fax* :
Mobile :
E.mail* :
Press card number: *:
Media's Type * :
 
 
Press agency
Daily newspaper
Weekly newspaper
Monthly
Photo agency
Web Site
Radio

TV

Free lance

Others
 
 

TO GET ACCREDITED

To fill if you intend to come to La Baule CSIO: 

arrival's date:  MAI 2004
departure's date :  MAI 2004
technical facilities requested*:

Desk in the press center

 

with electrics plugs

Seat in press stand

 

with electrics plugs

Locker

Photo armband

Internet connection ADSL

 
   
 
other request :
 

 
Informations given by you are transmitted to the website labaule-cheval.com. You can have a right of access to those informations, change them or modify some of the data (art.34. of the law "informatiques et libertés"). To exercise your right, get in contact with Unidfox, 13 Bayens - 33570 Puisseguin ou contact@unidfox.com
 
 

* Requested