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Media–Free Registration Application

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EMAIL completed form (together with media accreditation documents) to the
ERS Press Officer Lauren Anderson: email [email protected]
ESRS Press Officer Brigitte Knobl: email [email protected]
Media–Free Registration Application
Free registration is available for bona fide media representatives who will be actively
reporting on the event. ALL media are required to enclose a copy of a recognised press
card or a commissioning letter from the editor of a recognised publication when returning
this form AND to present them at the conference together with valid passport or ID-card.

I will attend the Sleep and Breathing Conference.

I am unable to attend the Sleep and Breathing Conference but would like to receive daily news by email.

I agree to abide by all the Sleep and Breathing Conference media embargoes and media policy.
First name: .............................................................
Family name: ..............................................................
Representing: ......................................................................................................................................................
Job Title: ..............................................................................................................................................................
Address: ..............................................................................................................................................................
Postal code: ............................................................
Country: ......................................................................
Telephone Intl.: .......................................................
Fax: .............................................................................
E-mail: ………………………………………….………
URL/Internet address: ………………… ........................
 I enclose a copy of my press card
 I enclose a copy of a commissioning letter from the editor of a recognised publication
Type of publication:
 Newspaper (National/Regional)*
 Magazine (N/R)*
 News Agency (N/R)*
 Scientific Journal (N/R)*
 Radio (N/R)*
 TV (N/R)*
 Website
 Other (please specify):
………….……………………………………………………………..
*Please indicate whether you are National or Regional media in your own country
Area: News/ Science/ Research & Development/ Health/ Other (please specify): …………….…………..
What is your main aim for attending the Sleep and Breathing Conference?
 Produce news articles for your publication
 Network with delegates to build contacts
 Film footage of the Sleep and Breathing Conference  Meet with pharmaceutical representatives
 Other (please specify):
Please tell us what your expected output is from your visit to the Sleep and Breathing Conference:
 A number of news articles written for your publication.
If yes, how many do you expect to produce?  0-5
 5-10
 10+
Please provide the URL of where your articles will feature, if available:
………………………………………………………………………………………
 Interviews conducted with delegates, ERS and ESRS representatives
 Footage filmed of the Sleep and Breathing Conference
 Meetings with delegates, ERS and ESRS representatives held
Please note: Advertising, marketing and public relations staff of journals or companies are NOT eligible for
free media registration. Please consult the Sleep and Breathing Conference media policy for further
information on the credentials for press registration.
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