Freelance Media

General Contact Information

Pronoun

First Name (Required)

Last Name (Required)

Title

Email Address (Required)

Phone Number (Required)

Address (Required)

City (Required)

Country (Required)

State/Province (Required)

Zip/Postal Code (Required)

Editorial Background

Please list the primary editorial outlets where you've been published in the last 12 months. (Required)

Outlet Type (select all that apply) (Required)

Domestic/International (select one) (Required)

Website(s) (Required)

Please attach or include links to samples of your work

This could include a link to a webpage on your website that lists your work samples or to a media database such a Muck Rack

Or upload sample work files (5 max)

Assignment Information

Are you on assignment? (Required)

Additional Information

Please specifically list the type of assistance you are seeking, including desired travel dates and any requested arrangements. (Required)

Is there anything else you would like us to know about you?

Would you like to create a media login to be able to access Travel Portland's image library and b-roll? (Required)