**Media Organiation
Freelance or Employee
**Address/P.O.Box
**ZIP/ Postal Code
**City
State/Provience/Country
**Country
**First Name
**Last Name
**Function
**Nationality
**Gender
**Date of birth
Native Language
Business phone
Mobile phone
Fax
**Email
International Association of Sporting Press (AIPS)No.
Nat. Press Association No.
Comments
Picture upload
**mandatory fields
Approval and rejection triggers an email being sent to you, including a username and password for the media section on the website (only if the status is confirmed)