Media Inquiries Form
Please fill out this form when seeking to have someone speak to your form of media and we'll respond ASAP.
Sign in to Google to save your progress. Learn more
Email *
Email Address *
Name/Name of Publication *
Phone Number
Your deadline, if applicable *
What topic(s) are you covering? AND How do you think BHRC can contribute to the piece? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Baltimore Harm Reduction Coalition, Inc.

Does this form look suspicious? Report

Google Forms