Media Registration Form | ISSCR Annual Meeting 2018

How to Apply

Instructions

Thank you for your interest in attending the ISSCR Annual Meeting as media. Please follow these instructions to apply for complimentary media registration:

Review the Media Credentialing Requirements to ensure you qualify
Agree to the Media & Communications Policies, which outline ISSCR’s rules on embargoes, interviews, and onsite guidelines
Complete the Media Registration Application Form

Within five (5) days, the ISSCR will approve, deny, or request additional information relevant to your request. If you have any questions or would like an update from the ISSCR, please contact: media@isscr.org

Applicant's Contact Info

First Name*

Last Name*

Media Outlet*

Job Title*

Mailing Address*

Include suite/office #

City*

State*

Zip Code*

Country*

Telephone*

Include country code

Email Address*

Is there new/updated contact information on this form?

Special Needs

If you have special needs, please provide a brief overview. ISSCR may follow-up separately if more information is needed.

Credentialing Documents

Editorial Interest*

In less than 1,000 characters including spaces, please explain your reason for attending ISSCR 2019.

Upload Credentials*

Please review the media credentialing requirements and upload accepted documentation.

Upload File

Word, PDF, JPEG, etc.

Upload File

Word, PDF, JPEG, etc.

File upload

Word, PDF, JPEG, etc.

Post URL

Emergency Contact During the Meeting

First Name

Last Name

Telephone #

Include country code

By registering to attend, you agree that your photograph may be taken during documentation of the meeting. It may also be used in informational articles or future promotions for this organization's activities.

I have read and agreed to the Media & Communications Policies

ISSCR TAXPAYER ID# 36-4491158
All fees are in USD. Payment must be made in U.S. funds drawn on a U.S. bank.