MEDIA LIST REQUEST Form Sidekick Order Number * Your Name * Company Name Are you looking for outlets, contacts, or both? * Outlets Contacts Both What Industry (industries) is Your Client In? * Ex: healthcare, business, technology, health, aviation, etc. This will help us expand our search, if we need to. Topics / Key Words * What should we be looking for? Type of Media: * Pick up to two (2) Online Consumer Magazine Trade / Industry Magazine (print & online) Blogs Podcasts Newspapers TV Stations TV Programs Radio Scope * Choose 1: City, State, Region, National, Canada Contact Job Role * Producers Editors Writers Podcasters Bloggers Online Video Editors Information Needed Standard lists come with Outlet Name, Contact Name, Contact Role, Email, Phone Number. If there's anything else you'd like included, please check off below: --- Address City, State Contact Subjects Country Outlet Frequency UVPM Website Minimum Circulation/Reach Anything else you need? Your Email * Your Sidekick is on it - thank you
