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Media accreditation to race ""

Media representative:
Name Surname:*
Address:*
Mobile phone number:*
E-mail:*
Profession:*
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Media Tabard:
Do you require a media tabard?*
Insurance policy*
Apdrošināšanas polises attēls:*
Person to contact in case of emergency:
Name Surname:*
Mobile phone:*
Media:
Name:*
Country*
Address:*
Website:*
Type:*
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Planned journalist activity about sporting event
Activity:*
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