Currituck Outer Banks Press Trip Request Form

Please fill out this request for if you are interested in attending a future press trip on the Currituck Outer Banks.

Name:

Address:

City: State/Province:

Zipcode

Phone:

Email:

Desired Arrival Date:

Desired Departure Date:

Will you be on assignment?

If you are on assignment, please give details on what magazine, newspaper or agency you will be representing:

If you are not on assignment, please give details about your visit:

Please list the publications you have written for in the past:

Comments/Special Requests:

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