Media Contact

NAME(Required)

FIRST LAST

ORGANIZATION/MEDIA OUTLET(Required)

EMAIL(Required)

ENTER EMAIL CONFIRM EMAIL

PHONE

IS THERE A DEADLINE ASSICIATED WITH THIS REQUEST?(Required)

Yes

No

IF YES, PLEASE SPECIFY DATE, TIME AND TIME-ZONE

SUBJECT(Required)

COMMENT(Required)

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utm_source

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utm_medium

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utm_campaign

Phone

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108 - 2386 E Mall,
Vancouver, BC V6T 1Z3

First Name(Required)

Last Name

Email(Required)

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UTM Source

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UTM Medium

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UTM Campaign

Name

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