Share Media Assistance Request Form For assistance with story ideas or travel itineraries to Miami, please complete and submit this Media Assistance Request Form. Completing this form will help us better serve your needs. Media Outlet Name: First Name: Last Name: Email: Phone: Other: Arrival Date: CalendarToday Departure Date: CalendarToday Media Type: ---------- Internet Magazine Newspaper Radio Television Audience: ---------- Consumer Trade Language: ---------- English Spanish French Other Distribution Area: Results from Assisted Visits: Security code: