2009 NAHBS Media Registration

Questions marked with a * are required.

 
*1. Family Name
 
*2. Given Name
 
*3. Email
 
*4. Which company do you work for? (write 'Self' if freelance).
 
*5. Which publication(s) or program(s) do you work for? (write your main clients only)
 
*6. Job title
 
*7. Medium (check all that apply)
Print publication
Web site
Blog
Television News
Television Documentary or Series
DVD Documentary
Radio
Other
 
*8. Circulation/Uniques per month/audience size
 
*9. Street Address
 
*10. Town or City
 
*11. Zip/Postal Code
 
*12. State/Province/County
 
*13. Country
 
*14. Best telephone number at which to reach you during the show weekend.
 
*15. Best telephone number for pre-show or follow-up calls ('as above' works for us).
 
*16. Which day will you arrive in Indianapolis?
Thursday 26th February
Friday 27th February
Saturday 28th February
Sunday 1st March
I live in Indy
 
*17. Which day will you depart from Indianapolis?
Friday 27th February
Saturday 28th February
Sunday 1st March
Monday 2nd March
I live in Indy
 
*18. Do you currently receive the NAHBS newsletter?
Yes
No
 
19. Do you wish to be added to the NAHBS newsletter mailing list? (leave blank if you are already on the list)
Yes
No