Media Stay Request Form

Title *

First Name *

Last Name *

Email Address *

Country *

Position e.g. Editor, Journalist *

Name of Publication

Medium e.g. Print, Broadcast *

Publication Frequency *

Publication Circulation or Broadcast Figures *

Readership Audience Profile *

Aprox. No of Words and Images or Broadcast Minutes *

Expected Coverage Date *

Story Angle *

Requested Hotel *

Approximate Arrival and Departure Times *

Date of Arrival *

Date of Departure *

Special Request

Basis of Stay *

PARADISE ROAD TINTAGEL COLOMBO

65 ROSMEAD PLACE, COLOMBO 7, SRI LANKA