Name of news media outlet
Name of reporter, producer, or editor
Phone number for media contact (including extension)
Email for media contact
Type of news media outlet
TV
Radio
Newspaper
Magazine
Web Blog
Other:
Topic or reason for call
Which DHD#10 location are you covering?
Crawford
Kalkaska
Lake
Manistee
Mason
Mecosta
Missaukee
Newaygo
Oceana
Wexford
Do you know the name of the person you wish to interview?
Yes
No
If yes, please provide name:
If you need to interview someone, how much time do you estimate is needed for the interview?
5 to 10 minutes
10 to 20 minutes
20 to 30 minutes
Other:
If an interview is needed, where can it take place? (choose all that apply)
Over the phone
In person at a DHD#10 location
Other location:
When is your deadline?
Is there any other information that will help us get you an accurate, timely response?
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