Media Assistance Request Form

Thank you for your interest in the Best Town Ever! To initiate a visit, please fill out this form and email it within 10 business days of your visit. If multiple media are traveling together, this information must be submitted for each media person who will be working on the story. If available, a letter from your assigning editor/publisher/news director confirming your assignment is also requested.

Waiver

In consideration of the opportunity to participate in activities arranged by Chattanooga Tourism Co. and by actually participating in all or any portion of them, each person who participates in any activities or whose representatives participating in activities, on his/her/its own behalf and on behalf of his/her/its representatives, indicates its/his/her agreement to (1) assume all risks associated with its/his/her travel to and from the listed locations and its/his/her participation in the activities described in this document and (2) irrevocably release from, waive and agree not to sue Chattanooga Tourism Co., its personnel, and any venues, activity providers or other entities set forth in this document, for any claims, damage, costs or liabilities, including for death, sickness, personal injury or property damage, it/he/she may have or be entitled to recover, whether known or unknown to it/him/her at the time agreement is indicated. This assumption, waiver and release extends to any such claims, damage, costs or liabilities arising from Chattanooga Tourism Co.’s negligence or that of the other released persons.

TRAVEL DATES

*Chattanooga Tourism Co. reserves the right to determine a “reasonable” amount of days for a media request based on your story focus and length.

Date:

MEDIA INFORMATION

*Costs incurred by family members/friends traveling with the writer will not be paid by Chattanooga Tourism Co.

Full Name*:

Title:

Date of Birth:

Address:

City:

State:

Zip:

Cell Phone*:

Email*:

Emergency Contact Name:

Emergency Contact Phone Number:

Special Food Requirements:

# of Adults Travelling with You*:

# of Children Traveling with You & Their Ages*:

PREVIOUS SPONSORED VISIT(S) TO CHATTANOOGA

Dates:

Results from assisted visit(s):

Include links

MEDIA OUTLET INFORMATION

*Online media please provide Google analytics information

Media Type*:

Print
Broadcast
Online

Media Name*:

Media Website*:

Media demographics:

Circulation/audience numbers:

Website unique visitors:

Media outlet profile:

Overview of publication

Value of published article:

JOURNALIST STORY GOALS

Story Focus*:

Requested Chattanooga Experiences:

Requested interviews with people/specific organizations:

Requested restaurants/dining experiences:

i.e. breakfast, dinner

Will restaurant(s) be included in the coverage & how?:

i.e. mention, description, breakout box

Requested accommodations/type of accommodation:

Will/have you made independent arrangements with an accommodation?:

Yes No

Will the accommodation be included in the coverage & how?:

i.e. mention, description, breakout box

ANTICIPATED RESULTS

Date of publication/air date:

Expected coverage results:

Assigning editor:

RECENT PUBLISHED ARTICLES

*All media are required to submit three or more samples of articles.

Article 1*:

Article 2*:

Article 3*:

Article 4:

Article 5:

SOCIAL MEDIA PLATFORMS

Please provide the actual link (not @) to your pages so we can easily click through. Thank you!

# of Facebook fans/followers:

Facebook Link:

# of Twitter fans/followers:

Twitter Link:

# of Instagram fans/followers:

Instagram Link:

# of YouTube fans/followers:

YouTube Link:

Will content be published/shared on any of the publication’s social media outlets? Or your own branded channels?:

Yes No

If yes, which ones?:

Please list how many posts are projected:

For example, 5-8 IG Stories

* Indicates a required field.

Completing this form does NOT confirm a supported visit. A member of Chattanooga Tourism Co. will follow up with you to discuss the potential trip and details.

If you have any questions, contact us: 
Hannah Hammon
Public Relations Manager
(423) 424-4433
Hannah@chattanoogatourism.com

HELPFUL LINKS:

Chattanooga Travel Inspiration Guide