Media Request Form

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Media Request Form

Thank you for reaching out! Please use this form to request an interview with NYS Assemblymember Anna Kelles. Due to scheduling constraints, it is advised to submit a request as far in advance as possible. Once completed, your request will be reviewed by staff, and they will be in touch with you at the phone or email address provided below. If you don't hear from us within a few hours, please call our district office at (607) 277-8030 or, on session days, our Albany office at (518) 455-5444.

Assemblymember Kelles appreciates your invitation. However, please be aware that she cannot accommodate all requests.

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Name *

Organization / News Outlet *

Phone Number *

Email *

Confirm Email *

Preferred Method of Contact *

Phone Number

Email Address

Preferred Date of Interview *

YYYY

Topic of Discussion - If you have specific questions prepared, please outline them. *

Length of Interview requested *

Interview format (audio, video) *

Preferred Meeting Setting *

In Person

Conference Call

Virtual

Do you have a deadline? If so, what is it?

Gönder

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