Travel Writers & Journalists

Contact Information

First Name: Last Name: Address: City: State: --None-- ** - ** AB - Alberta AK - Alaska AL - Alabama AR - Arkansas AZ - Arizona BC - British Columbia CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia HI - Hawaii IA - Iowa ID - Idaho IL - Illinois IN - Indiana KS - Kansas KY - Kentucky LA - Louisiana MA - Massachusetts MB - Manitoba MD - Maryland ME - Maine MH - Marshall Islands MI - Michigan MN - Minnesota MO - Missouri MS - Mississippi MT - Montana NB - New Brunswick NC - North Carolina ND - North Dakota NE - Nebraska NH - New Hampshire NJ - New Jersey NL - Newfoundland and Labrador NM - New Mexico NS - Nova Scotia NSW - New South Wales NT - Northwest Territory NU - Nunavut NV - Nevada NY - New York OH - Ohio OK - Oklahoma ON - Ontario OR - Oregon PA - Pennsylvania PE - Prince Edward Island QC - Quebec Qld - Queensland RI - Rhode Island SA - South Australia SAN - Santiago SC - South Carolina SD - South Dakota SK - Saskatchewan Tas - Tasmania TN - Tennessee TX - Texas UT - Utah VA - Virginia Vic - Victoria VT - Vermont WA - Washington WA - Western Australia WI - Wisconsin WV - West Virginia WY - Wyoming YT - Yukon Zip: Primary Phone: Email: Yes, you have permission to contact me via email: contact_sendemail Yes No

Media Information

Medium: Blogger Internet Magazine Newspaper Radio Television If your Media Publication type is not listed, please provide here: Editorial Interests: Do you plan to share your experience and/or article on a social media site?:: udf_153 Yes No Please provide your Facebook URL: Please provide your Instagram URL: Can we interact with you via Social Media while you are in Winston-Salem?: udf_156 Yes No

Publication Information

Company: Company Homepage or Website: Circulation / Audience Size: Frequency of Publication / Broadcast: Geographic coverage area: Projected publication / broadcast date: Do You Need High-Res Photos for Publication?: udf_161 Yes No Are you on assignment?: udf_162 Yes No Media Outlet(s) You Contribute to: Assigning Editor (Name + Email): Link to Travel Stories / Sample Articles:

Interests / Preferences

Story angle / Subject. What interests you most about visiting Winston-Salem?: (Briefly outline assignment details and/or potential story angles) Topics of Interest: Arts/Culture History/Museums Food/Drinks Outdoor Adventures Festivals/Events Shopping/Style Black History/Culture Edcuation/Colleges Sporting Events/Activites Concerts/Live Music Romantic/Couples Getaway Family Friendly Baby Boomer Activites Millenial Activites Girls Trip Any locations or attractions you want to include?: Types of activities you enjoy (or want to avoid): Please note specific interview requests (names or subject matter): Dining preferences (likes and dislikes): Food allergies / dietary restrictions:

Itinerary Information

Have you visited Winston-Salem before? If so, when?: Preferred travel dates: Please list your preferred dates and then two sets of alternative dates Do You Need Transportation to Winston-Salem?: udf_175 Yes No Do You Need Ground Transportation while here?: udf_176 Yes No Do You Need Accommodations?: udf_177 Yes No   If yes, will you mention the hosting accommodation in your in your story? (check if yes)   If complimentary accommodations are not available, will you accept press rates? (check if yes) If you have arranged for accommodations, please name the property: Will You Be Traveling with Guests?: udf_181 Yes No If so, please list their names and relationship to you: Preferred Itinerary Type: --None-- I’m a late-riser. Start my schedule after 10am. I like to have plenty of time to explore on my own. Please allow 3 hours of "my time" each day. Beauty-sleep is a priority. My days end by 8pm. Action-pack my itinerary. (Start early, end late, it’s all good.)

Emergency Contact Information

Emergency Contact Name: Emergency Contact Relationship: Emergency Contact Phone:

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