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INTERVIEW

Please fill out the following form to apply for interview on YOKOHAMA TRIENNALE.

Items marked with * must be completed

Contact information

Company*
Department/Section*
Contact person*
Address*	Building name, etc. Street, City, etc. Zip Country
Phone No./Cell Phone No.*
FAX No.
E-mail address*
E-mail address (for confirmation)*

Publication, media information

Type of media*
Publisher/TV station*
Name of media*
Programme name
Date and time of publication/broadcasting*	Date Time Only as for the TV radio Issue No. Print media only
Reference URL
Circulation, number of users, number of viewers
Print form and size*Print media only
Retail price*Sales media only

Contents of interview

Reference date, etc	* Attached file
Preferred interview date and time*	1st choice 2nd choice
Preferred location for interview*
Contents of interview*
Proof schedule*
Number of staff joining interview*	People in total Name of reporter Name of photographer Name of assistant
Equipment	Still camera units TV camera units Other
Other information

Handling of Personal Information

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