EmailMe Form - Dry Diggings Media Credential Application

Media Outlet Name: *

Media Website Address:

Applicant's Name *

First Last

Title of Applicant *

Media Outlet Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Work Phone *

### - ### - ####

Cell Phone *

### - ### - ####

Fax Phone

### - ### - ####

Best Email Address: *

PLEASE list persons in order of importance to attend.

W= Writer/ P= Photographer/ V= Videographer/ DJ-R= Radio DJ/ Reporter TV-R= TV Reporter ONE primary photographer, per media outlet is allowed. Special requests are reviewed on a one-by-one basis. *

EXAMPLE: Don Jenkins (R)/ Patricia Thomas (V)

Name and duty of attending media person (use codes listed above)

How many Facebook followers does your media outlet have? *

How many Twitter followers does your media outlet have? *

How many Instagram followers does your media outlet have? *

If applicable: Average daily radio listeners? If not applicable, write N/A.

Unique visitors per month to your media outlet's website? If not applicable, write N/A.

If applicable: Print distribution, per publishing, that the festival will be published in? If not applicable, write N/A.

Distribution:

Weekly

Monthly

Quarterly

Annual

Daily television viewership. If not applicable, write N/A.

PLEASE SEND US a LINK to SAMPLES of YOUR WORK: PHOTOGRAPHERS: 3) Photos, VIDEOGRAPHER: 1) Video, JOURNALIST: 2) Articles

Name for Will-Call Pick Up *

First Last

I agree that if I am approved, both myself and any representatives of our media outlet will follow media instructions while onsite. *

I agree

I do not agree

Please submit any links of pre-festival articles, blurbs, event listing, screenshot, etc. that have been published to date. If your outlet is planning on publishing an article pre-fest, please specify an approximate date it may publish? *

Upload Screenshot of article, or provide link above.

Would you like a "pre" fest interview with an artist on our line-up and/or with the founders for your media outlet? *

YES

NO

If so, please name which artists and/or write the word "founder."

Would you like a "during" fest, on-site interview with an artist on our line-up and/or with the founders for your media outlet? *

YES

NO

If so, please name which artists and/or write the word "founder."

All media applicants will be notified of their status via email. If accepted, we will forward all pertinent information for media check-in location, package pick-up, rules/ regulations, date, etc. approximately two weeks prior to festival date.

If you incur any problems with this form, please email Tanya Moore/Dry Diggings festival publicist directly at: PR@MooreMedia.TV

On behalf of the team, we look forward to the opportunity of working together on the Dry Diggings Festival, taking place September 2 & 3 at Eldorado Fairgrounds in Placerville, California

Please initial the box below and sign on the line (using your mouse) prior to pressing "Submit Now."

On behalf of Monser Presents and Moore Media, we thank you again for your support and look forward to the opportunity of working together! *

Please initial above and sign your name below using your mouse pad.

*

Clear

Are you in need of a copy of the press release for your coverage? *

YES

NO

YOUR OUTLET'S UNIQUE ID FOR DRY DIGGINGS. PLEASE NOTE YOUR RECORDS.