BECOME YOUR BEST :: Can-Fit-Pro Survey

Name First Last

Title

Media Outlet

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone - (###) - ### ####

Email

Please indicate which day(s) for which you would like a media pass: Friday, August 13, 2010 - professional conference and trade show Saturday, August 14, 2010 - consumer fitness and wellness show Both

Would you like to be introduced to specific exhibitors, sponsors, or presenters? yes, please no, thank you

Do you plan to interview a Can-Fit-Pro representative? yes no

Please indicate whether you plan to record any portion of this event: Live Video Feed for TV/Web Tape Video for TV/Web Audio for Radio Photograph

Can-Fit-Pro

Media Form

Media Form