Your name

Job title

Name of the media

Name of the editor-in-chief

Country

Company address

Phone number

E-mail

Web

Target group of the media

Publishing frequency

Number of copies (in case of press)

Number of readers (press) / monthly number of impressions (online media)

Places of interest in the Czech Republic

Reason why you are interested in the Czech Republic

3 Examples of your recent articles (please attache)