Apply Here for Press & Media Credentials for "Investigating the Mind 2005"

The Mind and Life Institute welcomes your application for press and media credentials. If you have any questions about the application process before completing this application form, please see the Press and Media Accreditation Criteria web page.

PRESS & MEDIA CONTACT INFORMATION:
NOTE: All contact form fields below are required information


Media Outlet or Publication Name  
First Name  
Last Name  
Job Title
Address
City
State
Postal Code
Country
Phone
Mobile
Fax
Your Email Address
Backup Media Contact at your Organization
Backup's Email Address

YOUR MAIN REPORTING INTEREST:
Please check the one that best reflects your reporting interest:
Science
Neuroscience and Research
Medical and Clinical
Health and Wellness
Education
Religion
Buddhism
General Editorial
Meditation
Other Contemplative Practice
Other

OTHER REQUIRED INFORMATION:

A. Do you plan to attend the meeting?
Which day(s)
Yes, I will attend
    Tuesday
    Wednesday
    Thursday

No, Will Not Attend

B. Do you plan to attend the press conference?
Yes, I will attend
No, Will Not Attend

C. Will a photographer be assigned?
Yes
No
If yes, provide photographer's name:

D. Will you bring a camera or video crew?
Yes
No
If yes, provide names:


SECURITY:

(Please enter the code to the right)

When you have completed the form, please click "Submit" and wait for a confirmation response.
                                         

Please DO NOT click the "Submit" button more than once..

NOTE: Your address and telephone number will be used only in the event that we are unable to contact you via your email address.

If you have any questions about this online sign up process, please see our Privacy Policy or contact the Mind and Life Institute.