AJO SAMARITANS
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Media Request Form
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Name
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First
Last
Phone
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Name of the Organization you work for or, if independent, the media organizations you hope to pitch to:
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Email
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What is the story you are hoping to tell?
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What are the specific ways you would like to interact with us for your story?
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What other parties have you spoken to or do you plan to speak to for this story?
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What is the estimated length and format of the piece you hope to produce?
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What is other work you might have done that we could look at?
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Are you willing to allow us to review any direct quotes for accuracy prior to publication?
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Thank you for your interest. We will get back to you as soon as we can. If you have a specific timeline you are working with, please let us know.
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