First Name:

Last Name:

Title:

Company:

Address:

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

E-Mail:

You will receive a confirmation email at this address

C. What You Need

I am interested in (check all that apply):

press pass
photo pass
I'd like to conduct a pre-interview with a panelist or FMC representative
I am part of a TV/video crew that needs audio feeds or mult box hookups

D. Some Info About You

Best description of your current participation in the music industry (check one only):

I have attended other FMC events, like the Policy Summit
I have attended other Old Town School events

E. Accessibility

Please let us know you need accommodations for any of the following:

F. Important Issues

What issues are most interested in covering at this event?

G. How did you hear about this event?

I'm a prior FMC event attendee
FMC website
FMC newsletter
Old Town School of Folk Music
ASCAP
BMI
AFM
CD Baby
Just Plain Folks
from a friend or colleague
local radio
newspaper ad or poster/handbill around town
blog/website post (please specify below)
news story (please specify below)
from an association (please specify below)
from my manager/booking agent/label (please specify below)
Which one?

H. Comments? Special instructions?