MEDIA BADGE REQUEST

Please fill in the following information to request a media badge and click the 'Submit' button: (* indicates required field).  If approved, badges may be picked up at the show office the day of the festival.  Please bring photo ID and press credentials.

**Due to the high demand for these badges, media badges are reserved for those covering the festival**

Company Name:*
Media Type:*	Select Media Type ... Magazine Newspaper Online Radio Other

Company Information

Company Contact:*		Email:
Address:*		City:*
State:*		Zip:*
Country:*		Phone:*
CellPhone:		Fax:

Badge Shipping Information

Copy From Above:
Name of Addressee:*
Address:*		City:*
State:*		Zip:*

Participant 1 Information

Name:*		Title:*
Phone:*		Email:*

Participant 2 Information

Name:		Title:
Phone:		Email:

Participant 3 Information

Name:		Title:
Phone:		Email:

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