Media Request Form Template

Need a quote or an interview with our team?First off, what's your name?And what can we help you with?

Interview (in-person), Interview (remote), Quote for Press Release, Quote for article, Photo, Video

Ok, could you tell us a bit about the project you're hoping to create?What specifically are you looking to learn about, or get information on?Where will you be posting the content?Please share a link with the website, social media page or blogGreat. Before we go, what's your email address?Thanks, we'll be in touch soon with more information.

Collect up to 3.5x more data with Typeform

Spread the word—and save time

Stay on top of your requests with an online form, and cut back on emails and calls. Media requests help your company or organization get their name out there. With an online media request form you reduce the time you spend delivering information to the journalists or marketers who reach out to you.

With Typeform, you can customize everything

Change text, colors, and even logos to match the look and feel of your brand. Then embed forms smoothly onto web and email.

Make forms feel effortless to fill out. Pace questions, call people by their name, and adapt the flow based on the data they share.

Stay efficient by connecting forms to your workflow. Typeform integrates with 120+ tools including Slack, Zapier, and HubSpot.

Media request form FAQs:

If you find yourself frequently speaking to journalists or marketers, then a media request form can save you time and effort. The main benefit is getting all the information up front. Ask the questions you need answers to, so that you can review the whole request when it comes in. No more drip-feeding, or last minute details. Is there a team of you managing requests? Streamline your processes by assigning each request to a team member as it comes in. You can add your forms to your current workflow with integrations to Airtable, Asana, Google Sheets, and more.

Media requests are great PR opportunities, but this means you need to act fast, before the story goes stale. That’s where Typeform can help. Our forms can help streamline your processes, and unclog your backlog and inboxes. Our instant email notifications tell you the moment a new request has landed, so you can get on the case. Embed the form on your website, or use the direct link. Just make it easy to find, so you don’t miss any opportunities.