Please fill out the form in its entirety. Any incomplete fields will delay the processing of your request. Please be advised that your submission does not guarantee approval for a Media Pass and every request will be reviewed on a request by request basis. It is possible that your request can be partially approved or fully denied.

If you have any questions, please e-mail info@thegallonfoundation.org. We strive to respond to each request as soon as possible. We appreciate your request and your patience.