TOURISM AGENCY MEDIA ASSISTANCE REQUEST

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1 TOURISM AGENCY MEDIA ASSISTANCE REQUEST Thank you for your interest in Nova Scotia. This form is designed to collect information that will assist us in formally reviewing your request. Please complete this form in full as the Nova Scotia Tourism Agency (NSTA) cannot process your request without receiving all the required information. This information may also be used to inform our regional Destination Marketing Organizations of your visit and request assistance to develop an itinerary that is best suited to your needs. The Nova Scotia Tourism Agency provides the following assistance for accredited travel media on assignment: transportation (approved airfare and ground assistance - if a rental car is required, we cover the rental fee, LDW insurance and kms only) accommodations meals (breakfast and dinner only) facilitating visits to attractions and venues itinerary development interview needs The following expenses are not covered by NSTA and are the responsibility of the media guest: all gratuities, lunchs and/or snacks fuel rental car amenities (ie. GPS, additional driver, car seats, etc) personal and/or travel insurance. film permits cancellation fees incurred with less than 24 hrs notice When the request for assistance is approved by a Nova Scotia Tourism Agency representative, airline tickets are to be purchased directly by the journalist / media representative and a copy is to be forwarded to NSTA for reimbursement. The ticket must be economy fare. Excess baggage charges will not be reimbursed unless approved in advance of purchase by NSTA representative. Please understand that our primary goal is to assist media who can provide editorial coverage of Nova Scotia as a travel destination. We will only consider accommodating requests for spouses, children and/or accompanying visitors in those situations with extenuating, and justifiable, circumstances as determined by the Nova Scotia Tourism Agency. Travel media interested in visiting Nova Scotia should complete this form at least six weeks in advance of visit and submit the following to expedite requests: A letter of assignment on the publications letterhead Three examples of travel feature coverage published in the last 6 months. Documentation can be in the form of print clippings with your byline, links to articles or a DVD sample of coverage you have previously produced.

2 2 Media Assistance Request CONTACT INFORMATION Pamela Wamback Nova Scotia Tourism Agency Travel Media Relations 1800 Argyle Street, Suite 602 Halifax, NS B3J 2R5 p f c e. #visitnovascotia #explorecanada Facebook: facebook.com/novascotiatravelmedia Website: novascotia.com/travelmedia Date Submitted JOURNALIST / MEDIA REPRESENTATIVE INFORMATION Name Mailing address Phone number: address Emergency Contact Please describe any special assistance (ie. allergies, food and physical limitations, medical advice, etc.) 2

3 3 Media Assistance Request Website / blog details: Website URL: Blog Name: Blog URL: Facebook Page\URL: Twitter Name/URL: Flickr Name/URL: Instagram handle: Klout score: What assistance are you looking for? (ie. Air and/or ground transportation, meals, accommodations, interviews, images, contacts, etc.) What arrangements will you be making directly? Please provide background information (ie. credentials, affiliations, etc) Have you visited Nova Scotia before? If yes, please provide details (date, reason) Would you like to receive our newsletters? CONSUMER TRAVEL MEDIA 3

4 4 Media Assistance Request MEDIA OUTLET INFORMATION Publication name Media type Audience demographic Distribution National: International: Frequency Circulation numbers or average viewership Advertising value (indicate the cost of a one-page advertisement in your publication or the cost of a 30-second advertisement during your program) Anticipated publication / air date Length / type of coverage Publication website Website / blog information: Average monthly visits Average number of comments per post Number of followers on social media channels Facebook: Twitter: Flickr: Instagram: 4

5 5 Media Assistance Request Additional outlet opportunities (ie. pitches or potential carriers not yet confirmed) How many online posts are you planning on writing about your visit? How will your coverage be executed? (ie. live, retrospect, post-visit, etc) Do you allow advertising on your site/blog? If yes, what is the average cost (specify size/location) TRAVEL DETAILS *Nova Scotia Tourism Agency reserves the right to determine a reasonable number of days for a media visit based on the information provided. Departure Date Departure City Return Date Estimated airfare cost (economy fare) Is accommodation required? *If multiple rooms and/or beds are required, please explain circumstances as to why. Accommodations are non-smoking. Yes If yes, please complete the following: Type of accommodation preferred: Number of rooms?* Number of beds per room?* 5 No Hotel Bed & Breakfast Campground

6 6 Media Assistance Request Is ground transportation required? Additional information / notes to consider for review Yes If yes, please complete the following: Type: No Car Mini-van RV Shuttle/taxi STORY INFORMATION Story focus 6

7 7 Media Assistance Request Please list any specific itinerary requests or preferences for your visit in order to fulfill your media objectives. Nova Scotia call to action Confirm if Nova Scotia tourism logo, and/or will be included or mentioned. Yes No WAIVER AND INDEMNITY By submitting this request for assistance, you hereby agree to the following if approved for a media visit: 1. The Participant shall be solely responsible for such his/her safety and well-being during the Trip, except with respect to the wilful misconduct or gross negligence of anyone under the Nova Scotia Tourism Agency s direct supervision and control. 2. The Participant hereby releases, indemnifies, and holds harmless the Nova Scotia Tourism Agency, and its representatives, and all of their respective directors, officers, employees, and agents, and each of their respective executors, administrators, and representatives, from and against any and all losses, liabilities, damages, actions, claims, costs and expenses (including, without limitation, attorneys fees), which are related to, arise out of, or are in any way connected to the Trip, except with respect to the wilful misconduct or gross negligence of anyone under Nova Scotia Tourism Agency s or, as the case may be, a representative s direct supervision and control. 3. The Participant hereby waives discharges and relinquishes any action or cause of action which may arise by the negligent conduct of anyone under the Nova Scotia Tourism Agency s, or its representative s, direct supervision and control. 4. The terms and conditions set out in this Request may only be amended with the prior written consent of the Nova Scotia Tourism Agency. I do hereby accept and agree to these terms as of the date indicated below. Date Signature 7

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