Media Visit Request Form

Please include: arrival/departure dates and/or flight details

Dates of Visit


Title of Project or Name of Company/Publication

(freelancers please include sponsor contact)

Please include: mailing address, phone/fax numbers, email address.


Please include: full name, professional status (ie. Travel Editor, Freelance, host, producer, etc.), and complete contact information including mailing address & email address for all participants.

Audience Profile/Circulation

Please include: type of medium with the reach, audience, demographic, and viewership/circulation.

Publishing/Airing Date

Advertising Value

Indicate the cost of a one-page advertisement in your publication OR the cost of a 30 second advertisement during your program.


List the focus of your visit. Describe assistance re-quired in order to fulfill media visit objectives. Include the following: attractions, sights, activities, and/or interviews.

Letter of Invite Required

If yes, please indicate the name of the outfitter and lodge where you will be staying.

Yes No

Assistance Request

Please indicate below if you need assistance with meals, fuel, ground transportation, accommodation or airfare.

Assistance Required? Yes No

Additional Comments/Requests

By submitting this media request form the party listed above agrees to supply Tourism Saskatchewan with a copy of any publicity resulting from the aforementioned visit.