Media Contact Form

EMERGENCY SAFETY SUMMIT

MELBOURNE . 2026

Media Contact Form

There are field errors on this form. Please complete all required fields before submitting.

Full Name(*)

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Job Title / Role(*)

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Corporate Email Address(*)

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Mobile Contact Number (with country code)(*)

Invalid phone number. Only AU phone numbers allowed.

Press ID Number (optional)

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Address

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Official Website / Publication Link

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Media Organization Name(*)

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Types of Media(*)

Types of Media

Television

Radio

Online News Portal

Trade / Industry Publication

Freelance Journalist

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Type of Coverage Planned(*)

Type of Coverage Planned

General News Reporting

Feature Article

Live Broadcast

Interview Coverage

Photojournalism

Video Production

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Number of Crew Members

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Equipment to Be Brought

Camera

Tripod

Lighting Equipment

Broadcast Van

Other

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Other Equipment

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Special Requests Or Notes

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Agreement(*)

Agreement

I confirm that I represent a legitimate media organization.

I agree to comply with Emergency Safety Summit media guidelines and security protocols.

I consent to the processing of my information for accreditation purposes.

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