Interactive Fam Form

FAM Title

Lead journalist, publication, and country

FAM Dates:

Angle/Description

In paragraph form

Description of Commissioning Publication / Media Outlet

Please include: Type of Media * Language * Frequency * Circulation * Demographics

Media: Assignment Letter?

Media: Editor Name / Contact Info

Date of Arrival*

Date of Departure*

Total Number in party

List of Attendees*

Please include affiliation, email address, cell phone number, DOB, for each attendee. Please also note when attendees are guest/family and whether they are male or female.

Bio(s) of participants (if applicable)

Please include flight information below.

Arrival Flight/Train Information

Departure Flight/Train Information

Emergency Contact Information

Are you traveling on an ESTA or media visa?

Special Food Requirements

Do you smoke?

Do you speak English?

Health Concerns/Physical Limitations

Specific areas of interest (check those that apply)

Have you been to Massachusetts before? What did you see/do? What would you like to see/do?

Other areas of interest:

Transportation Needs:

(rental car, GPS) Are you able to rent a car?

Filming Equipment

Please describe where applicable

Requests

Scheduled time vs free time, hosted meals, accommodations, and activities

Anticipated results

Feature Length * Drop/Air date * Media Value Do you plan on sharing your experience via social media channels (Facebook, Twitter, Instagram)? If so, please include links to channels.

Proposed Itinerary

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Comments

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