The Corporate Council on Africa Presents:

The U.S. - Africa Business Summit

October 30 to November 2, 2001

The Marriott Hotel
1201 Market Street
Philadelphia, Pennsylvania, 19107

PROCEDURES TO APPLY FOR MEDIA ACCREDITATION

Bona fide representatives of the mass media are welcome to cover the summit-- press, photo, radio, television and film. Completed accreditation forms (see below) should be faxed or e-mailed to:

Timothy S. McCoy
Director, Communications & Public Affairs
The Corporate Council on Africa
Fax: (202) 835-1117
tmccoy@africacncl.org

PLEASE NOTE: An acknowledgment of your accreditation will be sent to you via e-mail or fax. Presentation of two forms of photo ID (passport, official national press pass, driver's license, work ID, etc.) will be required to access event venue. Accreditation is free of charge.

REQUEST FOR ACCREDITATION OF MEDIA REPRESENTATIVES

PERSONAL DATA *Name:________________________________________________________                      (Family name)                                       (First name) Place and date of birth:____________________________________________ *Nationality:____________________________________________________ *Permanent office address (if different from your organizartion's headquarters): _______________________________________________________________ *Telephone:___________________________ *Fax:_______________________ *E-mail:________________________________________

DATA ON THE MEDIA ORGANIZATION YOU REPRESENT *Name of organization: ___________________________________________________ *Contact person and title: _________________________________________________ Headquarters mailing address: _______________________________________________________________ *Telephone:___________________________ *Fax:_______________________ *E-mail:________________________________________ Status/Ownereship: (check all that apply) Education/Public            Government/State   Private            Other(specify):____________         *Type of medium: (check all that apply) Daily Newspaper      Radio Other(specify):_____________ News agency/service         Television   Photo/visual service Weekly publication         *Position: (check one) Cameraperson Editor Reporter Correspondent Photographer Technician Director Producer Other(specify):_____________ *Working language(s) of your media organization:____________________________                                                                            ____________________________ Your main news topic(s) or field(s) of coverage (if applicable): _____________________________________ _____________________________________ _____________________________________ *required