Who do you represent? CNN? NBC? Bob's Youtube Review? We definitely wanna check your stuff out!
We live in an age of technological wonder! Everyone's on that new-fangled world wide web!
Your medium of choice. Where you do what you do. What area of media does your product call home?
Give us some details about what it is you do!
Bullet point some details about your demographics. How many readers/subscribers/hits? What is your current fan/subscriber base? Who are you marketed to and who are you reaching?
Tell us how many Media Badges you are requesting. This does not guarantee that you will be approved for the total quantity requested.
Who are you? We'll need to know if we need to get in touch for some reason.
How about those digits? We won't prank call or pocket dial you...probably.
Heard of that interweb thingy? How do we contact you there?