Media Credential Request Form

Goodguys Rod & Custom Association / Fuel Curve Media Credential Request Form

Media Organization

Publication / Website

Address

Address Line 1

Address Line 2

City

State

Zip Code

Choose Your Event

How Many Credentials Are You Requesting?

Name

First

Last

Job Title

Phone

Photos Will Be Published

Media Outlet Type

You grow your

Distribution Schedule

Circulation Count

How does your outlet's coverage benefit and grow Goodguys?

Briefly outline your coverage plan

Prior Goodguys Event Coverage (if none, leave blank)

Consent

I consent to Goodguys Rod & Custom, Inc. collecting my data through the submission of this form