YOU BEEN ACCREDITED PREVIOUSLY 

NAME OF NEWSPAPER/MAGAZINE/OUTLET YOU ARE APPLYING ON BEHALF OF*

PHYSICAL ADDRESS OF THE OUTLET YOU ARE APPLYING ON BEHALF OF)*

PUBLICATION EDITOR NAME*

PUBLICATION EDITOR EMAIL ADDRESS*

PUBLICATION TELEPHONE NUMBER*

ARE YOU* - Note: television applicants are to be approved by broadcast rights holder APRC (apply at aprcsecretariat@rallynz.org.nz).
NEWSPAPERMAGAZINERADIOTELEVISION/VIDEOWEBSITE

VERIFIED CIRCULATION REACH (AUDIENCE, VISITOR OR CIRCULATION NUMBERS, VERIFIED BY INDEPENDENT AUDITOR)*

YOUR NAME*

YOUR ADDRESS*

YOUR EMAIL ADDRESS*

YOUR PHONE NUMBER*

CONTACT NAME OF NEXT OF KIN*

CONTACT TELEPHONE NUMBER OF NEXT OF KIN*

PASS REQUESTED* - All give access to the event media centre while PH and TV require assigned bibs to access spectator restricted areas. These must be returned on the Sunday after the finish ceremony.
JOURNALISTRADIOPHOTOGRAPHERTELEVISION/VIDEO

I HAVE READ AND UNDERSTOOD THE FIA ACCREDITATION PROCEDURES AND I ATTEST THAT:
1. Our publication is on sale to the public, our agency supplies images to media organisations on a commercial basis, or our organisation broadcasts rally news and results to the public on a regular basis;
2. I have enclosed an outline of the coverage we plan to provide for this 2023 FIA APRC event, following our accreditation;
3. I acknowledge that the event’s official name is the International Rally of Whangarei and confirm that the full event title will be used in our event coverage at least once in every published or broadcast item.
Please note: TV and radio media applications also need FIA APRC secretariat approval. This process will be handled by the International Rally of Whangarei media staff, but applicants must ensure their media accreditation form is submitted on time. If applications are late, no guarantees can be made regarding the timely approval of accreditation.
New applicants, please send a copy of your publication showing previous rally articles, an electronic copy of your broadcast programme showing rally coverage, or five (5) examples of your photographic work demonstrating your experience in a rallying environment.
Team or sponsor PR representatives and photographers can be accredited, but may have specified restrictions subject to the event officials’ requirements in terms of desk space, internet availability or photographer safety vests for restricted areas.

Attach your event coverage plan (point 2 above) - max 4MB.

SIGNED BY*:

DATE*: