Media Trip Request

Contact Info

First Name

Last Name

Email Address

Address

City

State

Zip

Country

Primary Phone

Cell Phone

Facebook URL

Twitter Handle

Name of publication, TV Station/Show, Organization or Outlet

Publication Website

Circulation/Viewership/#Followers (of media outlet where your article will appear)

Taping/Photography:

YES
NO

Last Visit to Hagerstown & Washington County, MD:

Previous Work Published:

Current Project/Story:

Angle of Story:

Target Audience:

Timeframe to Publish:

Arrival Date:

Departure Date:

Number of Rooms Requested:

Number of Nights:

Number of people in your group:

Will you have your own transportation?

YES
NO

Allergies (Food or Otherwise)?:

Assistance Required:

Would you like a Visit Hagerstown escort? (We generally prefer to provide this, but under certain circumstances, exceptions are made):

YES
NO

Will you have your own vehicle?

YES
NO

Anything else we should know?