Media Credentials Form 2017

Media support:

___Writing Press ________ Crescent Vårgårda UCI Women´s Worldtour Team Time Trial 11/8

___Online Press ________ Crescent Vårgårda UCI Women´s Worldtour Vårgårda Road Race 13/8

___Radio	________ Velofondo Vårgårda 12/8

___Television

Last name

First name

Press organization

Postal Adress

Postal Code/City

Country

MobileE-mail

Additional accreditations requested: I will need credentials for the following associates. (the list of the names below):

Name/function

Name/function

Name/function

Your needs: ____________Press car	______Motorcycle

Other

Arrival date /time Departure date/time

Fill in this document and mail it to: info@vargardacycling.se