Arkansas Entertainers Hall of Fame Induction Ceremony Media Pass Request


Media Pass Request
Name_______________________________

Title ___________________________________

Address ________________________________

City ___________________________________

Phone __________________________________

Fax ____________________________________

Email __________________________________
Station or Publication __________________________

Station/Publication
Address _____________________________________

Website _____________________________________

Contact @
Publication ___________________________________

City ________________________________________

State _________________ ZIP ______________

Phone/Fax ___________________________________

Email _______________________________________
A separate form must be used for each person requesting credentials:
NO MEDIA CREDENTIAL Request will be accepted after SEPTEMBER 1, 2010


*Request for Interview:  Hall of Fame Representative  Artist: ________________________
*The Arkansas Entertainers Hall of Fame does not guarantee interviews with artist but will convey request from the media.

Media credentials DO NOT provide access to seating during the event. Media will be limited in access to the reception area only. You must pick up your passes prior to September 9th. If you do not have a pass or do not have your name on the media list you WILL NOT be permitted into the Governor’s Mansion. Media credentials allow you into the reception from 6:00 pm – 6:45 pm. There is no reserved parking during the event. Please plan on parking outside the gate.

Promotional Use Policy:
Access offered by the Arkansas Entertainers Hall of Fame to the media area is for the reporting and news coverage of the induction ceremony and the artists. Media representatives must follow all guidelines and requests of the artists. Media agrees that all photographs will be for news coverage only. Media representatives agree to indemnify the Arkansas Entertainers Hall of Fame against all claims. Media representatives agree to pay any and all legal fees related to defending claims brought against the Arkansas Entertainers Hall of Fame as a result of their use of materials obtained without consent. All photographs must be recognized as originating from the Arkansas Entertainers Hall of Fame.

Signed: ___________________________________
Date: ____________________________

Complimentary Copy Agreement:
Media representative will provide the Arkansas Entertainers Hall of Fame with a complimentary copy of the media coverage, reports and photographs generated as a result of an assigned story or freelance coverage of the event. The Arkansas Entertainers Hall of Fame will be allowed to use materials for marketing and promotional purposes.

Signed: ___________________________________ Date:__________________________

Please fax, mail, or email this completed form with a request from your editor on letterhead to Dena Woerner;
Arkansas Department of Parks and Tourism
1 Capitol Mall 4A-900
Little Rock, Arkansas 72201
Fax: 501-682-2523 or phone 501-682-7602
Email: dena.woerner@arkansas.gov or anna.mitchell@arkansas.gov

Submitted by the Arkansas Department of Parks & Tourism
One Capitol Mall, Little Rock, AR 72201, 501-682-7606
E-mail: info@arkansas.com

May be used without permission. Credit line is appreciated:
"Arkansas Department of Parks & Tourism"