CONTACT DETAILS

Name
Title
Address
Primary Phone
Mobile
Email
Contact Region
North America
Central or South America
China
Other Asia
Europe
UK
Middle East or Africa
English Speaking
Yes
No

SOCIAL SITE

Name of Social Site or Handle
Social Channel
Instagram
Facebook
Twitter
Youtube
Blog
WeChat

DIGITAL PROFILE
(Please indicate the following for proposed social channel/s)

Total Followers
Average Impressions
Average Engagements
Content Focus
Audience Profile
Language

STORY OBJECTIVES

Explain what you hope to achieve and any areas of interest

DATES

Arrival Date
Departure Date

REQUESTED HOTEL(S)

Primary Hotel
Additional Hotels
Other Notes