Farm Aid 2019 – Media Registration Farm Aid-issued media credentials are required for all media attending Farm Aid 2019 and will only be distributed to those affiliated with a professional media outlet. Credentials may only be picked up on-site the morning of the event with photo ID; no credentials will be mailed ahead of time. Media credentials allow access to the morning’s press event and the designated media areas within Alpine Valley Music Theatre. Please review Farm Aid’s 2019 Media Policies prior to filling out the credential request form below. All credentialed media are expected to be compliant with the official Farm Aid 2019 policies. If you choose to purchase or already have purchased a ticket for the festival, your $30 credentialing fee will be waived. After you fill out the form below, please email a proof of purchase of your ticket to Anabelle Sheely directly at email@example.com to complete your credential request. If we do not receive proof of purchase, you will be asked to pay the $35 on-site credentialing fee when you arrive at Alpine Valley Music Theatre on September 21. If you arrive at the venue on the day of the festival and are not affiliated with a professional media outlet or approved documentary crew and/or do not have professional equipment, credentials will not be issued, and a refund will not be credited. Freelance photographers must send a letter of assignment from the editor of the publication they are representing to Anabelle Sheely (firstname.lastname@example.org) prior to September 21. Friends and family of credentialed media are not eligible for media credentials. Tickets may be purchased through the LiveNation website starting on July 12 at 10 a.m. CT. Credentialed media may enter and exit the designated media area at Farm Aid 2019 as often as needed to meet with friends and family at the show — however, all media policies will be in effect. Questions Please contact Anabelle Sheely at 202-248-5478 or by email at email@example.com and Faith James at 202-248-5450 or by email at firstname.lastname@example.org. Confirmation of receipt will be provided automatically to the email you provide below. If you do not receive a confirmation email, please contact Anabelle Sheely at the email above. Each person requesting a credential must complete the form. All credential requests for Farm Aid 2019 must be received by Friday, September 13, 2019. Registration Have you purchased or plan to purchase a ticket to Farm Aid 2019?*YesNoIf yes, please send your proof of purchase to email@example.com.Name* First Middle Last Job Title*Organization*Email* Business Phone*Cell Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Interview Requests / NeedsChoose your credential type*Choose one:PhotographerBroadcastReporterDocumentary FilmmakerMedia Registration Fee* Price: $30.00 Farm Aid use only Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Please noteOnly one Farm Aid photo credential will be issued per media outlet. If you arrive at the venue on the day of the festival and are not affiliated with a professional media outlet and/or do not have professional equipment, credentials will not be issued and a refund will not be credited. Farm Aid 2019 will be held September 21 at Alpine Valley Music Theatre, rain or shine.