MEDIA ACCREDITATION APPLICATION FORM
SPARTA MACUFE CUP 2016
9 OCTOBER, BLOEMFONTEIN
Name:
Surname:
Media House :
Physical Address:
Telephone:
Fax:
Mobile:
E Mail:
CATEGORY
Please tick (x) appropriate box
Entertainment / Sports Writer
TV Presenter/Producer
Web/Social Media Writer
Agency
Freelance
Photographer
TV Camera Person
Writer Radio Commentator
Radio Technician
Other (specify)
Media application is NOT AVAILABLE for videographers
REASON FOR APPLICATION
What will you be doing at
Sparta Macufe Cup?
APPLICATION DEADLINE
Wednesday, 05 October 2016
(No late applications will be considered)
Journalist’s Signature: _______________________________________________________
Editor’s Signature: __________________________________________________________
Media house stamp: _________________________________________________________
NOTE: NO APPLICATION BEYOND Wednesday, 05 OCTOBER WILL BE
ACCEPTED
OR CONSIDERED
PLEASE E-MAIL THIS FORM ON / OR BEFORE WEDNESDAY, 05 OCTOBER 2016
TO [email protected]
COLLECTION OF MEDIA TAG
6, 7, 8 October 2016,
NO COLLECTIONS ON MATCH DAY (9 Oct, 2016)
Josslyn Birkenstock
E-mail: [email protected]
Cell: 0719997642
Tel: 051 030 0078
Sparta Macufe Cup Media Update
Twitter: @ChiefDNA ( for Media Only)
MyArts International
6 Hopwood Street
Universitas
Bloemfontein, 9301
Hotline Lines: 010 035 1145
E-mail: [email protected]