Media Application If you are human, leave this field blank. Thank you for your interest in covering Country Jam 2019. Please fill out this form to request media credentials for this year's festival. Name * Title * Company * Address * City * State * Zip Code * Phone Number * Email Address * How Many Press Credentials Are You Requesting? (Please Include Electronic Crew Members) * What Type of Media Company Do You Work For? * Print Television Radio Digital Name Of Publication * What Type Of Publication? * Newspaper Magazine Publication Frequency * Daily Bi-Weekly Monthly Option 4 Other Distribution * Regional National International Circulation * Briefly Describe Your Anticipated Coverage Of The Festival * Anticipated Print Date(s) * Call Letters * Network * Distribution * Regional National International Program Name * Briefly Describe Your Anticipated Coverage Of The Festival * Anticipated Air Date(s) * Call Letters * Program Name * Distribution * Regional National International Anticipated Air Date(s) * Briefly Describe Your Anticipated Coverage Of The Festival * Name of Website/Company * Website URL * Average Unique Visitors Per Month * Average Page Views Per Month * Editor's Name * Editor's Phone Number * Briefly Describe Your Anticipated Coverage Of The Festival * What Market(s) Do You Cover? * Please List Any Additional Publications/Outlets You Write For As a condition of receiving festival press passes, you must agree to provide tear sheets or copies of your outlet's coverage following the festival. * I agree