Attachment_14_-_Community_Relations_Media_Visit_Request.docx

30TH SPACE WING

COMMUNITY RELATIONS/MEDIA VISIT REQUEST

30 SW/Public Affairs: (805) 606-2076 Please complete form and submit list of visitors attending, to include full name, contact information, date of birth, and driver's license number, to Vandenbergcommunityrelations@vandenberg.af.mil

Please ensure all areas are completed and correct.

Date of request:

Date of visit requested:

Purpose of visit:

Organization(s) requested to be visited (or your group’s interest):

Name of visit or name/rank/title of lead visitor: (please provide complete list of visitors on page two)

Requestor’s name and duty title (position):

POC’ s name (If different from requestor):

Requestor’s organization:

E-mail address:

POC’s e-mail address (If different from requestor):

Requestor’s phone and fax number :

POC’s phone and fax number (If different from requestor):

Requested arrival time of visit:

Requested departure time of visit:

Total number of visitors:

Mode of transportation and number of vehicles:

FOR PUBLIC AFFAIRS USE ONLY:

Special Considerations: _____________________________________________________________

30TH SPACE WING COMMUNITY RELATIONS/MEDIA VISITOR LIST

OPR: 30th Space Wing Public Affairs Office: 805-606-3595 image1.png