Media Visit Information Form Thank you for your interest in visiting Virginia! Please fill out this form with all the information needed to arrange your visit. Name and Personal DetailsName* Outlet* Phone number* Email* Date of Birth*Needed to book any travel arrangements MM slash DD slash YYYY Coverage DetailsAre you on assignment?*Priority will be given to writers with a confirmed assignment. What specifically are you looking to cover in Virginia?* What is your anticpated coverage?*Include Name of Outlet, Outlet Circulation, Story Focus, Estimated Length of Coverage What is your estimated date of publication/broadcast?* Please link to your most recent coverage*Social MediaPlease consider using #LOVEVA during your trip.Please list your social media handles and provide number of likes/followers for each channel.*Visit DetailsWhat are your arrival and departure dates?* Are these dates flexible?*YesNoPreferred departure and return time of day* How do you plan to get to Virginia?*Please include if you need transportation assistance or if you have already it handled. Include preferred airport/train station, if applicable. Will you be traveling with anyone?*NOTE: Any guests traveling with you will be responsible for their own travel expenses. This includes spouses, children, and photographers (unless otherwise discussed) Do you prefer a detailed itinerary or a list of suggested activities (or both)?* Early bird or night owl? Do you enjoy starting your day early, or getting a later start?* Any dietary restrictions or special needs?*This includes if you do not drink alcohol Do you plan on scheduling any of your own meetings or activities during your visit?* Agreement* I have read and agree to Virginia Tourism Corporation's Media Visit Travel Policy.* I have read and agree to Virginia Tourism Corporation's Media Visit Liability Waiver and Release Δ