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Media Interview Request
 

This form will expedite media interviews with ACWA staff.  Please complete and submit the below form. ACWA will respond to your interview request within one business day:

 

*fields are required.
REPORTER INFORMATION
Name:
Company:
Media Type: Television Newspaper Radio Periodical Other
Deadline for 
Inteview: 		Date:    Time: AM    PM
   
CONTACT INFORMATION
Phone:
Cell Phone:
Fax:
Email:
   
INTERVIEW INFORMATION
Topic of Interview:
Interview Type: Phone In-Person On Camera
Editorial Board Other
   
 
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