Media wishing to attend the 2009 Great Australian Run on Sunday, 29th November are invited to complete the following accreditation application form.

Questions marked * are mandatory.

*Name  

*Organisation

*Address

*Suburb/Town

*State select a state Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia

*Postcode

Tel. (Work)

Tel. (Mobile)

*Email

Organisation Category

Newspaper

Magazine

Press Agency

Photo Agency

Radio

Television

Website

Freelance

Other

Function Category

Written Press

Photographer

Radio Reporter

Host Broadcaster

Production Staff

TV Reporter

Online Reporter

Other

If you are categorised as a FREELANCE or OTHER, describe your work and outline your reasons for wishing to attend in a media capacity