Press Form JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.Shaky Knees Press Application 2015Sign in to Google to save your progress. Learn more* Indicates required questionPUBLICATION NAME *Your answerTYPE *Print / Online / TV etc.Your answerNAME OF PERSON SUBMITTING THIS APPLICATION *Your answerE-MAIL OF PERSON SUBMITTING THIS APPLICATION *Your answerNAME OF PERSON APPLYING TO ATTEND *Your answerE-MAIL OF PERSON APPLYING TO ATTEND *Your answerPUBLICATION STREET ADDRESS 1 *Your answerPUBLICATION STREET ADDRESS 2Your answerPUBLICATION CITY *Your answerPUBLICATION STATE *Your answerPUBLICATION ZIP *Your answerPUBLICATION PHONE NUMBER *Your answerPUBLICATION WEBSITE ADDRESS *Your answerPUBLICATION FACEBOOK PAGE *Please enter the link to your publication's Facebook page. If you do not have a Facebook page, enter "none" in this space.Your answerPUBLICATION TWITTER PAGE *Please enter the link to your publication's Twitter profile. If you do not have a Twitter profile, enter "none" in this space.Your answerPUBLICATION'S CIRCULATION NUMBERS *If this does not apply to you, enter "0" or "N/A" in this space.Your answerPUBLICATION'S NUMBER OF MONTHLY DIGITAL IMPRESSIONS *Print Publications: Readership, Online Publications: Unique Visitors, Broadcast: Listenership/Viewership. If this does not apply to you, enter "N/A" in this space.Your answerEDITOR'S NAME *Your answerEDITOR'S E-MAIL ADDRESS *Your answerEDITOR'S DIRECT PHONE NUMBER *Your answer# OF ATTENDING MEDIA CREDENTIALS REQUESTED *Your answer# OF ATTENDING PHOTO PASSES REQUESTED *A photo pass will also grant access to the media area. If you are applying for a photo pass, you will NOT also need a media pass.Your answer# OF PROMOTIONAL TICKETS REQST'D *If you are interested in running a promotion, please reach out to shakyboots@masonjarmedia.comYour answerPLEASE EXPLAIN WHAT YOU & YOUR PUBLICATION WOULD LIKE TO ACCOMPLISH AT THE FESTIVAL *Your answerSubmitClear formNever submit passwords through Google Forms.This content is neither created nor endorsed by Google. - Terms of Service - Privacy PolicyDoes this form look suspicious? Report Forms Help and feedback Contact form owner Help Forms improve Report