A training workshop for professional journalists and students

Presented by Investigative Reporters and Editors and hosted by The New York Times

REGISTRATION FORM

Please fill out this form and email it to nycomm@indypressny.org

or fax it to 212 239 8571 or mail it to New York Community Media Alliance

Name: _____________________________________________________________

Employer/Affiliation/School: _________________________________________________

Address: ________________________________________________________________

________________________________________________________________

City, State: __________________________ Zip: ___________-_____________

E-mail (required): __________________________________________________________

Home phone: ___________________ Office Phone (required): _______________

Cancellations need to be sent via e-mail to amy@ire.org. There is a $10 processing fee ($5 for students) for cancellations until the day before the event. Refunds will not be given for cancellations on the day of, or after, the event.

PAYMENT OPTION

Pay online by clicking here

OR

Make a check payable to NYCMA/FCNY and send it to

New York Community Media Alliance

115 West 29^th Street, Suite 606

New York, NY 10001

(You can also bring the check on the day of workshop and hand it over to a representative of NYCMA at the sign in table)