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2. Waterford Township Media Inquiry Form
4. 1. Reporter Information
6. Full Name*
8. Outlet/Organization*
10. Phone Number*
12. Email Address*
14. 2. Inquiry Details
16. Topic/Subject*
18. Specific Questions*
20. Requested Interviewee
22. 3. Deadline & Timing
24. Hard Deadline (Date & Time)
26. Publication/Air Date
28. 4. Request Type*

    1. Written Statement/Quote
    2. Phone Interview
    3. On-Camera/In-Person Interview
    4. Data/Document Request (FOIA related?)
    5. Photo/B-Roll Access
30. Internal Use: Communications Department
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field