FAM Applicant Information

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Thank you for your interest in Massachusetts. We think the Bay State is a pretty special place and hope you will, too. We are pleased to consider your request for a familiarization ( FAM ) visit. In order to assist with the planning of your trip, please review the FAM Visit Policies and Guidelines document and complete this form as thoroughly as possible. MOTT will make every effort to work with your preferred destinations on arrangements for accommodations, meals, and activities applicable to your needs, however we cannot make any guarantees. We recommend holding off on making any travel purchases (including airline tickets) until formal approval is given. Thank you!

FAM Applicant Information Date of Form Submission / / Contact Information Affiliation Title Country Primary Phone Street Address Mobile Phone* City, State, Zip Country Brief bio *Please provide a number that will be reachable during your visit. Additional Attendees (Complete for each attendee. If number exceeds allotted space, attach in separate page.) Professional Affiliation Relationship (if applicable) Mobile Phone Date of Birth Brief bio (if applicable) Professional Affiliation Relationship (if applicable) Mobile Phone Date of Birth Brief bio (if applicable) Professional Affiliation Relationship (if applicable) Mobile Phone Date of Birth Brief bio (if applicable) Do you speak English? Yes No Total Number in Party FAM /Dates/Regions

Travel Information Desired Dates of Travel (please list two additional, possible dates of arrival/departure) Preferred Arrival Date Preferred Departure Date Alternate Arrival/Departure Dates Proposed Flight/Train Information Arrival Flight/Train No. Departure Flight/Train No. Time Time Media Outlet/Publication Information Media Outlet Circulation Type: Magazine Newspaper Website Frequency Blog Other URL Demographics Language Beat Social Media (handle and # followers) Twitter Pinterest Facebook Snapchat Instagram Other Are you on assignment? Yes No If so, please attach a letter of commission. Editor Title Phone Outlet/Publication Recent Clips Please share at least three most recent clips with date(s) published, title, and a link (or attach hereto). If you have visited Massachusetts before, please include a clip produced from the last hosted visit, and indicate when the visit took place. FAM /Dates/Regions

Media Plan Angle/Type of Story Planned Coverage Print Article Online Article Social Media Photo/Video Footage Other Please provide detail on checked items: Do you plan to do any live coverage during your visit through social media? Yes No If yes, please detail: Anticipated Results Publication/air date(s) Estimated media value Additional detail FAM /Dates/Regions Length of Coverage

Trip Details and Requests Tourism Regions of Interest (check those that apply and visit massvacation.com/regions-towns/ for detail on the tourism regions) 1. Greater Boston 2. North of Boston 3. Greater Merrimack Valley 4. Southeastern Massachusetts 5. Plymouth County 6. Cape Cod 7. Martha s Vineyard 8. Nantucket Island 9. MetroWest 10. Johnny Appleseed Trail 11. Central Massachusetts 12. Greater Springfield 13. Hampshire County 14. Franklin County 15. The Berkshires 16. Mohawk Trail Categories/themes of interest (check those that apply, and feel free to add notes on next page) Arts & Culture Culinary Sports Museums, Galleries, Studios Performing Arts Architecture Film Education Trails (food, beer, wine, etc.) Farm-to-table Agritourism Farmers Markets New/trending Venues Professional Semi-pro and Amateur College Literature Seafood Other Cultural Districts LGBTQ Outdoors & Recreation Family-friendly History & Heritage Beaches, Coast, Maritime Couples/romance Sites, Monuments, Buildings Trails and Tours Native American Pilgrims/early settlers Colonial or Revolutionary Industrial Revolution WWI or WWII Modern Age Black History Mountains, Hills, Forests Gardens and Arboretums Land Activities (hike, bike, zip, etc.) Water Activities (swim, sail, fish, etc.) Winter Sports Adventure and Amusement Parks Fall Foliage Scenic Wonders Animals (whale watching, zoos, etc.) Business travel Budget Luxury Pet-friendly Accessible Experiential Tourism Innovation Multicultural Hip/trendy neighborhoods Casinos & Gaming Events Shopping Spa/wellness Massachusetts Anniversaries Holidays Festivals and Parades High-end Outlet Excursions/tours Antiques Health and Fitness FAM /Dates/Regions

Notes on themes/areas of interest Have you been to Massachusetts before? What did you see/do? Requests (scheduled time vs. free time, hosted meals, accommodations, activities, etc.) Transportation Are you comfortable taking public transportation? Yes No Are you planning to rent a car? Yes No VISA/ESTA If you are an international visitor, what type of visa will you be traveling on? Other Are there any special dietary requirements? (vegetarian, vegan, gluten free, allergies, etc.) Health Concerns/Physical Limitations (please list) FAM Request Status () Approved Declined FAM /Dates/Regions Date