Loading...

Templates Free Tools Guides Contact Us

Sign in Get Started

Templates Free Tools Guides Contact Us Privacy Terms

© 2026 ZenBuild. All rights reserved.

→

→

PR Media Outreach Contact Request Form - Free Marketing Template | ZenBuild | ZenBuild

Templates→Marketing→PR Media Outreach Contact Request Form

PR Media Outreach Contact Request Form

Internal PR team form for requesting media contact lists for specific pitches.

0.0 (0 ratings)

Sign in to rate this template

Preview

READ-ONLY MODE

Template Details

CategoryMarketing

IndustryMarketing

Fields8

Uses0

Views0

prmediaoutreachpress

PR Media Outreach Contact Request Form — Form Fields

This marketing template includes 8 fields. Internal PR team form for requesting media contact lists for specific pitches. Free to customize and use on ZenBuild.

PR Team Member Name (text, required)
Email (email, required)
Pitch or Story Topic (text, required)
Media Type Needed (dropdown selection, required) — options: Print, Online/Digital, TV, Podcast, Newsletter, All
Geographic Focus (dropdown selection, required) — options: Local, National, International, Trade/Industry
Number of Contacts Needed (number, required)
Request Urgency (dropdown selection, required) — options: Same Day, Within 2 Days, Within 1 Week
Additional Criteria (long text, optional)