1st International Masters Judo Championships
2011 COLLINGWOOD, CANDA
Media Credentials Application
Collingwood, Canada

November 4 - November 6, 2011

Blue Mountain Inn Conference Centre
Highway 26 Blue Mountain Inn,
Collingwood Ontario, Canada

Please complete this application in full. Incomplete applications cannot be accepted.

16 Frankfort Grove
Jackson's Point, Ontario
L0E 1L0, Canada
TEL: 001.416.580.1885 // FAX: 001.905.596.8477
E-mail: info@masterathlete.com

The payment process used on this form is secured.
If you wish you can fax or mail in this form.

*Required Fields

1st International Masters Judo Championships 2011 COLLINGWOOD, CANDA Media Credentials Application Collingwood, Canada November 4 - November 6, 2011 Blue Mountain Inn Conference Centre Highway 26 Blue Mountain Inn, Collingwood Ontario, Canada Please complete this application in full. Incomplete applications cannot be accepted. 16 Frankfort Grove Jackson's Point, Ontario L0E 1L0, Canada TEL: 001.416.580.1885 // FAX: 001.905.596.8477 E-mail: info@masterathlete.com The payment process used on this form is secured. If you wish you can fax or mail in this form. *Required Fields
*First Name:
*Family Name:
*Street Address:
*City:
*Province/State:
*Zip/Postal Code:
*Country:
*Business Phone:
* Business Fax :
*E-Mail:
*Type of Organization:
*Circulation:
*Special Requests:
*Date you will be arriving CANADA:

Upon approval, media affiliates will receive a confirmation letter. You must bring this confirmation with you when picking up your credentia.