Press/Media - Amakula

Title*

Mr/Mrs/Ms/Dr/Prof etc

Name*

First Last

Daytime landline number*

Cell Number*

Email*

About your media outlet

Name of media organisation / publication / channel*

Your job title*

Type of media*

Are you going to require accreditation to take photographs invenues?*

No
Yes

Interests*

Live Performance
Music
Literary and Intellectual
Exhibitions / Visual Art
Youth and Development Programmes
Family Friendly
Business of Festivals

Media website address*

Facebook Page*

Twitter Handle

Postal Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Is your DELIVERY address (for sending you programmes / other material) the same as the above postal address?*

Yes
No

Name of Editor / Manager*

Editor / Manager's Phone Number*

For verification purposes

Date of intended arrival in Kampala*

If you are not coming , please contact the media office to be put on our mailing list rather than applying for accreditation.

Date of intended departure from Kampala*

Number of previous festivals attended*

Year of most recent festival attended*

Motivation*

Please write a short motivation to support your request for accreditation. Please highlight the publication(s) or media in which your work will feature.

Phone

This field is for validation purposes and should be left unchanged.