media
editorial dept.
type
(TV, Radio, Print, Photo, etc.)
first name
last name
address

city			zip code
country
phone			fax
móvil			email
I WISH TO BE ACCREDITED FOR THE FOLLOWING DAYS (alternative and additional days possible)

October 6* October 7 October 8 Others *TV-crews and photographers only

I will be bring a team Please enter first and last names of each team member:

Me hospedo en: Elija una opción Murcia Cartagena No lo sé Otros

01. PERSONAL DATA

name
surname
home address

city			postal code
country
phone			fax
mobile phone			e-mail
If not employed in and/or collaborating with a particular institution, please indicate professional field

02. INSTITUTION DATA
(Please complete if employed in and/or collaborating with a particular institution.)

name of institution
museum art centr / foundation biennial
gallery auction house editions
other (specify)

institution address

city			postal code
country
phone			fax
e-mail

website
position
direct e-mail

03. MURCIA DATA

Date of arrival in Murcia
Date of departure

I will be bring a team Please enter first and last names of each team member:

Me hospedo en: Elija una opción Murcia Cartagena No lo sé Otros