This form is envisaged for journalists (printed/ digital media, and radio) and photographers only. TV / Video cameraman should contact ERC Promoter, e-mail accreditation@fiaerc.com.

• Name Surname:
• Address:
• Mobile phone:
• E-mail:
• Profession:
• Journalist Photographer Other

• Do you require a media tabard?

  Yes No

• Insurance policy No.:

• Name Surname:
• Mobile phone:

• Title:
• Country:
• Address:
• Internet webpage:

• Medium

  Internet Printed media Photo agency Other
• Auditorium:
• Frequency:
• Regional coverage:
• Chief Sports Editor:
• Mobile phone:
• E-mail:

• Activity:

• Liepāja Talsi

• I accept to receive press releases from RA EVENTS.

• Media safety rules
• Media accreditation rules

• I approve that I have read and will follow all the media rules of Rally Liepaja