Contact Details
Name
Title
Address
Primary Phone
Mobile
Availability

(Please provide any specific times we should or should not reach you by phone.)
Email
Region
North America
Central or South America
China
Other Asia
Europe, UK, Middle East or Africa
Social Media
Handle(s) or Page Link (Outlet)
Will story/news be shared on social media?
Yes
No
TBD
English Speaking
Yes
No
Outlet
Name of Outlet
Outlet Type
Story Objectives
Explain what you hope to achieve and any areas of interest:
Any interview requests?
Yes
No
Please provide general angle and 2-3 questions
Dates
Arrival Date
Departure Date
Requested Hotel(s)
Primary Hotel
Additional Hotels
Add me to the Curio Collection by Hilton media list
Yes