Media Registration Template

Step 1 of 2

Prefix

Full name

Name as you wish it to appear on your badge

Media company or organization

Department

Job title

7. Mobile telephone (include country code)

Days of attendance

The remainder of the questions are required to establish your credentials as a bona fide member of the media:

Please provide a link to your LinkedIn profile

Please provide links to three pieces of published media work written in the past 12 months

Please whitelist ci@asgam.com and ci@omedia.mo to ensure you receive our emails. You will first receive an automated email message, and then one of our representatives will contact you personally.

By clicking on the “Submit” button below, you hereby agree to the terms and conditions of the IAG Academy Summit.