12th Open MasterAthlete Judo Championships 2010
Media Credentials Application
Montreal Quebec, Canada
August 17 - August 22, 2010
Centre Pierre Charbonneau
3000 rue Viau,
H1V 3J3
Montreal Quebec, 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

12th Open MasterAthlete Judo Championships 2010 Media Credentials Application Montreal Quebec, Canada August 17 - August 22, 2010 Centre Pierre Charbonneau 3000 rue Viau, H1V 3J3 Montreal Quebec, 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:
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Upon approval, media affiliates will receive a confirmation letter. You must bring this confirmation with you when picking up your credentia.