Wufoo
Media Request/Inquiry Form
Members of the news media and those seeking media requests, images, or details about GirlTREK, please complete our Media Request form.
If this is a media related emergency, you may also reach GirlTREK's Co-founder, Vanessa Garrison at vanessa@girltrek.org
*Please note that our office is closed and the GirlTREK National Staff and members are on our annual off-season break from December 1st - MLK Day, January 15, 2024.
Name
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First
Last
Position
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Organization Name
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Organization Website
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Mailing Address
*
Email
*
Phone Number
*
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Phone (Alternate)
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Please provide a brief description about your organization.
*
Please share specifics about this media opportunity.
*
Have you had previous experience collaborating GirlTREK? If yes, please briefly describe.
Deadline
*
Release Date
*
How did you hear about GirlTREK? Check all that apply.
Referred by a current member
I am a current member
Online Media Outlet
Podcast
Radio
Other
If you selected "Other," please provide details.
I Understand that,
*
Submitting this Media Request Form does not constitute any legal agreement or collaboration.
GirlTREK is closed from December 1st- January 15th for our "Off-Season" break to honor our commitment to Black women's health.
Any Media Request Forms received during GirlTREK's off-season will be reviewed when our office re-opens for our new season.
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