Required fields are marked with asterisks (*)

Travel Media Application

In order for us to assist with the planning of your trip, please provide the following information. Tourism Thunder Bay will work with you throughout the planning process to develop a custom itinerary and arrange your accommodations and activities.

*Dependent on availability, partners and budgets; and subject to media outlets Tourism Thunder Bay deems appropriate for reaching our target audiences.

By submitting this form, you agree to:

Attend all of the activities organized for you
Cover any additional costs which are not included in your final itinerary
Ensure you have the necessary travel documentation including a valid passport, travel visa and adequate health travel and other insurances
Assume responsibility for any costs associated with missed or changed travel plans, especially flights

Anticipated travel dates

Date of Arrival:

Date of Departure:

Personal information

Full Name On Passport:

City/Country:

Phone:

Cell Phone:

Email:

Emergency Contact (Name and Phone):

Special Food Requirements/Allergies:

Yes

If yes, please list.

Do you have any conditions that may impact or limit your participation in certain activities?

Yes

If yes, please list.

Media Information

On assignment?

Yes

If yes, attach a letter of assignment from your editor. If no, include url(s) showing samples of your previous work.

Media Outlet Name: Where will your coverage appear? Please identify what is confirmed and what will be pitched afterwards.

Media type: Newspaper/Magazine/Television/Radio/Internet/other

Audience Demographic: Who reads/listens/views you?

Distribution:

Local

Regional

National

International

Publication Circulation or Audience Numbers/UV: How many viewers/readers/listeners do you reach?

Outlet profile: Tell us about you/your outlet

Outlet Website: (ie. http://www.thunderbay.ca)

Advertising Value: Please list the cost of a 1 page, ½ page or ¼ page ad. For Television and Radio please list the cost of a 30 second ad.

Social media and online

Facebook Name/Page:

# of followers/friends:

Twitter Name/Handle:

# of followers:

Instagram Name:

# of followers:

YouTube Name:

# of viewers/subscribers:

Other Social Media Name\Handle: Please provide URL to profile

# of fans/followers:

Anticipated results

Publication date/Air date:

Expected coverage results: How will Thunder Bay be highlighted?

Independent arrangements

Independent Arrangements: *Note: Will you be making any independent arrangements? If yes, please list them here so we can incorporate them into your itinerary.

Accommodation requests

# Rooms requested:

# Of working media:

Assistance Type:

Complimentary

Media rate

Will you include coverage of host partners:

Yes

Travel assistance

*Departure Flight Preference: Date, time range and airport

*Return Flight Preference: Date, time range and airport

Please contact Erin Simmons, Digital and Travel Media Officer with any questions.

“All personal information, including personal health information, collected is collected under the authority of the Municipal Act, 2001. Personal information is collected in compliance with the Municipal Freedom of Information and Protection of Privacy Act. Personal health information is collected in compliance with the Personal Health Information Protection Act. The personal and personal health information collected is for the purpose of planning your trip and itinerary.

None of your personal or personal health information will be shared, rented, sold or otherwise released to any third party without your consent.”