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Medium / name of program＊

Expected date of publication / broadcast ＊

Medium / summary of program＊

Please describe your Medium / summary of program, readership (audience), sales (broadcasting) area, and circulation figures (viewer rate), etc.

Content of your coverage＊

Please describe the article title, article content, and the number of pages of the article (airtime), etc.

Content of your interview＊

Please describe the content of the interview, interview method (such as person-to-person interviews and on-the-spot shooting), and preferred date of interview etc.

On-the-spot interview

If you wish to do on-the-spot interviews including on-the-spot shooting of the artworks,please write the date of interview, number of reporters, and number of vehicles.

Name of a company and your post ＊

Name of contact person＊

Mail address＊

Phone number＊

FAX number

Address (street address)