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2. First Name
3. Last Name
5. Address
7. City
8. State
9. Zip
11. Phone Number
12. Email Address
14. Cell phone number
15. How Many In Your Party?
    -- Select One --1234+
17. Arrival Date
    Arrival Date

    Arrival Date
18. Departure Date
    Departure Date

    Departure Date
20. How did you find out about us?
22. Please provide print affiliations, assignments, or links to your website(s) and social media platforms:
24. What Is the purpose of your visit (publication / broadcast affiliation / other)?
26. What is the general angle of your story (themed, broad destination, other)?
28. Will the story be exclusively Dodge City or will it be included with other communities?
30. Have you published any Dodge City or Kansas stories in the past? If so, what was the story's general theme?
32. How much attention do you require?
    -- Select One --Very Little SomewhatDaily Attention
33. Have you had contact with Kansas Department of Tourism (TravelKS)?
35. What is the tentative date of your publication?
37. Areas of interest

    Please check all that apply

    1. Activities - Family/Kids
    2. Activities - Fall/Winter
    3. Activities - Spring/Summer
    4. Culture
    5. Dining
    6. Festivals
    7. Girls Trip
    8. Golf
    9. History

    1. Hunting
    2. Meetings/Conferences
    3. Outdoor Recreation
    4. Rodeo
    5. Shopping
    6. Sports
    7. Wedding / Special Events
    8. Other
39. Upload your resume
40. Upload previous stories
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42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

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