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Digital Influencer Visit Request

Thank you for your interest in visiting The Palm Beaches. If you are a digital media influencer, please fill out this form.

Influencer's Information

First Name (as per photo ID):

Last Name (as per photo ID):

Date of Birth:

Email:

Mobile Phone:

Mailing Address:

Address (cont.):

City:

State:

Zip/Postal Code:

Country:

What is your English speaking capacity?:

How can we best contact you during your stay in The Palm Beaches?:

Mobile Phone

List any personal medical conditions/allergies
If none, please write NONE:

Emergency Contact

Emergency Contact Name:
Relationship to you:
Mobile Phone:

Social Media

For the below, please provide direct links for each of the social media platforms you'd plan to utilize during your influencer visit to The Palm Beaches.
Facebook:
Twitter:
Instagram:
YouTube:
Pinterest:
TikTok:
Other:

Trip Details

Date of Arrival:

MM/DD/YYYY *Media Visits cannot be guaranteed for major holidays or holiday weekends including: Thanksgiving, Christmas, New Year's, Labor Day, 4th of July and Memorial Day.

Expected time of arrival:

Date of Departure:

MM/DD/YYYY

Expected time of departure:

Will you need accommodations?:

If yes, number of rooms needed?:

Number of individuals:

Names of individuals who will be traveling with you and their titles:

*Discover The Palm Beaches does not guarantee costs/expenditures
of non-media related guests, such as spouse or children.

How will you be arriving to The Palm Beaches?:

Flying
Driving
Other (add details below)

Other Arrival Details:

Which airport will you be flying in to?:

Palm Beach International Airport (PBI)
Fort Lauderdale International Airport (FLL)
Miami International Airport (MIA)
Southwest Florida International Airport (RSW)
Orlando International Airport (MCO)

Will you require ground transportation assistance during your visit?:

Would you rather experience more planned activities or leisure time?:

Have you made any independent arrangements we should be aware of?:

Is there anything else you would like to
share with us?:

Terms and Conditions

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