Press Accreditation Form

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Press Accreditation Form
United Nations Climate Change meetings - 2010

DEADLINE: Wednesday, 7 April 2010

Please submit only ONE form. Do not send multiple forms.

There is no set deadline and you may accredit through the final day of the conference(s). Nevertheless, it is recommend that you apply as early as possible.

Please complete all items marked with *

All credentials may be sent by fax to +49 228 815 1856 or +49 228 815 1999. Credentials may also be scanned into a graphics format (.bmp. gif. jpg, tif) and sent by e-mail to press@unfccc.int

Intersessional informal consulations, AWG-KP 11 & AWG-LCA 9
Bonn, Germany, 9-11 April 2010

Personal information

Salutation

First name

Middle name or initial

Last name

E-mail

Have you received press accreditation for a previous UNFCCC meeting?
Yes No

Would you like to receive e-mail press alerts from the UNFCCC press office?
Yes No

Citizenship

Phone

- - (country · area · number) *

Fax

- - (country · area · number)

Mobile

- - (country · area · number)

Your position
[Check all that apply] *

Reporter	Producer	Technician
Correspondent	Editor	Photographer
Director	Cameraperson

Media organization

Name of organization

Street

City

Postal code

Country

Headquarters country

Web address

Type of medium
[Check only one] *

News Agency	TV	Photo
Daily Paper	Radio
Periodical	Online only

Chief Editor's name

Chief Editor's phone

- - (country · area · number) *

Chief Editor's fax

- - (country · area · number)

Important notice

Requests for accreditation must be complemented by a letter of assignment on official letterhead of a media organization signed by the Publisher/Assignment Editor, Editor-in-chief or Bureau Chief, specifying the name and functional title of the journalist, as well as a photocopy of a valid press card and a national ID.

I have read the notice and will forward the required documentation *