Name

    Title/Media Outlet

    Telephone

    Fax

    E-mail

    Supervising Editor’s Name/Contact Info

    Accompanying Photographer/Cameraperson

    Expected Coverage
    (i.e. describe feature, photo spread, listings, etc. and expected date of coverage)

    Spokesperson interviews

    Jean Augustine

    Family Member

    York University

    Other

    I agree to provide the Jean Augustine 80th Celebration Committee with a copy of resulting coverage byuploading the content to a secure FTP and by providing a hard copy of the footage.

    Please return the accreditation form by e-mail:
    contact@jeanaugustine.ca