MEDIA REQUEST

Media Request

Use this form to get in touch with our team regarding quotes, comments, interviews, and speaking engagements.

Name(Required)

First Last

Email(Required)

Phone

Organization/Publication(Required)

Topic(Required)

Deadline(Required)

Format(Required)

Virtual Meeting (Zoom, Teams, etc.)

Phone

Approx. how long will this meeting be?

Which portions of this meeting will be recorded?(Required)

Audio and Video

Audio Only

None

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National Council of Urban Indian Health
1 Massachusetts Avenue NW
Suite 800-D
Washington, DC 20001