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AEG DIVERSITY AWARDS
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CONTACT FORM
CONTACT FORM FOR NOMINEES/OR AGENTS/MANAGEMENT
If you have been nominated or are an agent or manager of a nominee please fill out this form & an agent will be in touch with your official nomination letter and rsvp details and info on Date and Venue of the Live show in Los Angeles 2019 Please go to website home page and hit subscribe at the bottom of page to be notified when tickets go on sale and official and follow on Instagram @aegawardsgala for updates
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I have received Official Nomination Letter & notified my client
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Yes
No
I haven't received it can you please re send it
If you have received it by mistake please notify us with the correct email to send it to Nominee
Name
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First
Last
Email
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Full Name of Nominee/Client you Represent
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Name of Management Company or Agency
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COMPANY WEBSITE
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CITY YOU LIVE IN
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What do you do for Talent/Nominee you Represent
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I am talent/Nominee
I am Manager of Nominee
I am Agent of Nominee
I am Publicist of Nominee
CELL/OFFICE #
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Do you wish to attend the AEG Diversity Awards with your client
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Yes
No
Agents/Managers of Nominee will recieve a discounted rate ticket RSVP If wish to purchase a ticket to attend with your client please email info@aeprmedia.com / Sponsorship Agency VIP Table RSVP (must be in a group of 10 email sponsors@aegeventsgroup.com
How would you like to be contacted or best way to notify you to get your tickets
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Phone
E-mail
Message
Submit
CONTACT FORM FOR MEDIA ONLY
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Name
*
First
Last
Name of Credited Publication/News Media Company you work for
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ie Entertainment Tonight, Extra, E-News, Gettys, Wireimage, Zimbio etc..
Email
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INSTAGRAM@
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Network Affiliation
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ABC
NBC
CBS
BRAVO
BET
GLOBAL
CTV
CITY TV
USA
NETFLIX
OTHER
COMPANY WEBSITE
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CITY
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POSITION
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Writer/Editor
Interviewer/Media Correspondent
Photographer
CELL/OFFICE #
*
Reason for Contacting
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GDPR Agreement
*
I consent to having this website store my submitted information so they can respond to my inquiry.
Phone
Submit