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PRESS & MEDIA APPLICATION

PRESS & MEDIA APPLICATION

"*" indicates required fields

Thank you for your interest in covering Headwaters Country Jam! Please fill out this form to request media credentials for your publication at this year's festival.

Please note you must indicate which national or regional outlet you are with and complete all fields of the form to be considered.

First Name*

Last Name*

Your Title*

What type of media company do you work for?*

Which national or regional outlet are you with?*

Please share the link to your media outlet's website:*

How many press credentials are you requesting? (Please include electronic crew members)*

CONTACT INFORMATION

Address*

City*

State*

Zip Code*

Phone Number*

Email Address*

As a condition of receiving press passes, you must agree to provide tear sheets or copies of your outlet’s coverage following the festival.*

I agree

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