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Girl Scouts Rock the Mall, June 9, 2012 Credential Request Form

Thank you for your interest in Girl Scouts Rock the Mall: 100th Anniversary Sing-Along at the
Washington Monument in Washington, DC on Saturday, June 9, 2012. The pre-show starts at 9:30 am and the main event runs from 11:00 -4:00 pm.

Since the movement was founded in 1912, Girl Scouts use songs to celebrate life, to bridge
cultural boundaries, and to communicate their commitment to the principles that guide the
movement. To celebrate the centennial anniversary of the Girl Scout Movement, 200,000
Girl Scouts, friends, family and alumnae from around the world are expected to gather on the
National Mall in Washington, DC.

All media covering the event must have credentials issued by Girl Scouts. Complete the Credential Request Form online.

Thank you. For more information please contact, Nancy Wood, nwood@gscnc.org, 202-274-3304 or Sarah Parillo, sparillo@gscnc.org, 202-5343787.


* 1. Media Organization

* 2. Your Name

* 3. Title

* 4. Business Address

* 5. Phone

* 6. Email

* 7. Cell Phone

* 8. Editor/Producer Contact Email

Type of Media (Check or fill out all boxes that apply)

* 9. Print Media

* 10. Form

* 11. Cable/Television Media Outlet

* 12. Camera Crew--Do you need a position on the media platform? (space may be limited)

* 13. Would you like access to pool video if available?

* 14. Radio

* 15. Wire Service/Syndicate

* 16. Online/Internet

* 17. Additional Requests:

Thank you for filling out the Girl Scouts Rock the Mall, June 9, 2012 Credential Request Form. Please contact Girl Scout Council of the Nation's Capital with any special requests for the Girl Scouts Rock the Mall: 100th Anniversary Sing-Along event. When you arrive at the event check in at the Media Tent--behind the main stage. Credentials will be mailed in advance and also available at the Media tent.

Media contact, Nancy Wood, nwood@gscnc.org, 202-870-1193.
Media contact, Sarah Parillo, sparillo@gscnc.org, 202-534-3787

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