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* 1. Please fill out this form if you are interested in receiving a media pass to cover the 2012 International Students For Liberty Conference. Benefits of media registration include:

- Free registration and a media pass
- Priority seating in the main hall
- Exclusive access to speakers and students for interviews
- Complimentary internet access in the Grand Hyatt hotel

We will be in contact shortly after the form is completed. If you have any questions please contact Students For Liberty Communication Manager Megan Roberts at mroberts@studentsforliberty.org.

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* 2. Please select the type of media outlet you represent

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* 3. Will you be bringing any additional crew with you? If so, please specify.

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