Meeting Planner Registration Fill out the form below... Information Request Would you like to be added to the Paradise Coast media list? Yes No Provide details of what information, photos or other assets you need for your story and your deadline to receive. Travel Information Arrival Date: Departure Date: Alternate Arrival Date: Alternate Departure Date: Are you requesting CVB assistance to travel to the destination? Yes No If requesting CVB assistance, please provide details: If getting here on your own, select how you will arrive: Drive your own car Book your own flight Indicate your preferred arrival date and time: Indicate your preferred departure date and time: Personal Information First Name: Last Name: Email: Cell Number: Alternate Number: Street Address: City: State: ZIP Code: Home Airport: Are you 21 or over? Yes No Emergency Contact Information Name/Relationship: Phone: Email: Special Assistance Describe any special assistance required. Describe any health concerns. List dietary restrictions or special food requirements. Please list any activities you can’t do because of physical or other restrictions. Media outlet information Market(s) where stories from your visit will appear: USA National USA Regional (list region in field below) Florida Canada UK Germany/Central Europe Asia Latin America Other… USA Regional Market Publication names where coverage from your visit will appear: Publication 1: Publication 2: Publication 3: Publication 4: Story angles: Story Angle 1: Story Angle 2: Story Angle 3: Publication(s), outlets, focus/niche: Check all that apply. Travel Luxury Family Wellness Budget Food Adventure Outdoors Fishing Other… Publication circulation or broadcast viewership: Website UMVs (list all) Story information List number of articles, article length, and in what publications, broadcast outlets, and/or online sites they will appear When will the articles be published? Will hotels, attractions and restaurants visited be mentioned in the story? Will hotels, attractions, restaurants, etc. be featured vs. just listed? Professional Details Freelancer Information Are you a freelancer? Yes No If freelance, list outlets you frequently contribute to: If freelance, do you have a letter of assignment (include editor’s name)? If no letter of assignment, what outlets will you be pitching to? (Include circulation/UVM) Please include circulation/UVM Personal Blog Blog URL: Blog UVM: Social Media Twitter URL: Twitter follower count: Facebook URL: Facebook follower count: Instagram URL: YouTube URL: YouTube subscriber count: Pinterest URL: Describe your social media activity plans for during and after your visit. I acknowledge that by checking this box, I am consenting to allow someone from Naples, Marco Island, Everglades CVB to contact me in response to my message above. We won't share or sell your email address or personal information with any other party for any reason. For more details, read the Naples | Marco Island | Everglades Privacy Policy and EU GDPR FAQ. Submit