TV PASS - ACCREDITATION FORM / FORMULARIO DE ACREDITACION

FIM International Six Days of Enduro
Viña del Mar (Chile). 12-17 November 2018


Please complete all mandatory fields (denoted by *) and submit before 2nd November 2018 / Favor de llenar todos los campos obligatorios y enviarlo antes el 2 de noviembre.
Contact - Aurélie Grob, FIM TV Coordinator (This email address is being protected from spambots. You need JavaScript enabled to view it.) / Contactar a Aurélie Grob, FIM TV Coordinator (This email address is being protected from spambots. You need JavaScript enabled to view it.)

IMPORTANT: The holder of an FIM TV Pass must be in possession of a valid general third party liability insurance covering him or her throughout the event / IMPORTANTE: El titular del FIM TV PASS debe tener un seguro de responsabilidad civil valido durante el evento.
COMPANY DETAILS / DETALLES DE LA EMPRESA
Media Name / Nombre del medio (*)
Please type the company name.

Address / Dirección (*)
Please specify

Address line 2 / Dirección linea 2
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City / Cuidad(*)
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State / Provincia (*)
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Postal / Zip code(*)
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Country / País(*)
Please tell us the country the company is in.

Phone Number / Numero de teléfono (*)
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E-mail(*)
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Website / Pagina web
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Digital Platforms / Plataforme digital
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BROADCAST / DIFUSIÓN
Platforms / Plataformas(*)
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Programs / Programas (*)
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Length / Longitud(*)
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Frequency / Frecuencia(*)
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PERSONAL DETAILS / INFORMACIÓN PERSONAL
Name / Nombre(*)
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First name - Given name / Nombre(s)

(*)
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Surname - Family name / Apelido(s)

Mobile phone / Numero de cellular(*)
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Email(*)
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Job title / Profesión(*)
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FOR YOUR INFORMATION / PARA SU INFORMACIÓN

Video & TV rights / Video & TV Derechos:
- TV accreditation is reserved for media members – producer, cameraman, journalist, etc. – who want to record video for TV or Social Media broadcasting in regard to the 2018 FIM ISDE / La acreditación de TV está reservada para los miembros de los medio - producto, camarografo, periodistas,etc. Que desean grabar videos para la transmisión de televisión o redes sociales con respecto al FIM ISDE 2018.
- TV accreditation is for editorial use only. Commercial use of any image type is not permitted without prior authorisation / La acreditación de TV es solo para uso editorial. El uso comercial de cualquier tipo de imagen no está permitido sin previa autorización.
- The TV PASS holder agrees to comply with FIM conditions / El titular del PASE DE TV acepta respectar las condiciones de FIM.
- This accreditation form is personal. It must be completed and submitted before 2nd November 2018 / Esta acreditación es personal. Debe ser llenada y enviada antes el 2 de noviembre.
- We reserve the right to refuse any accreditation request / FIM se reserva el derecho de rechazar solicitud de acreditación.
- For details, contact Aurélie Grob, FIM TV Coordinator: +41 22 950 95 10 | This email address is being protected from spambots. You need JavaScript enabled to view it. | / Para detalles, contactar a Aurélie Grob, FIM TV coordinador : +41 22 950 95 10 | This email address is being protected from spambots. You need JavaScript enabled to view it. |

Covering rights / Derechos de coberturas:
- Anyone wishing to cover the 2018 FIM ISDE without TV recording & broadcasting please click here / Si quieres grabar para TV o RRSS favor haga click aquí
- For details, contact Sarah Kinrade, FIM ISDE Press Officer (This email address is being protected from spambots. You need JavaScript enabled to view it.) or Alexis Vasquez, Local Press Officer | + 56 9 6661 4156 (This email address is being protected from spambots. You need JavaScript enabled to view it.) / Para detalles, Contactar a Sarah Kinrade, FIM ISDE Press Officer (This email address is being protected from spambots. You need JavaScript enabled to view it.) o Alexis Vasquez, Local Press Officer | + 56 9 6661 4156 (This email address is being protected from spambots. You need JavaScript enabled to view it.).