Monster Energy Carolina Rebellion 2018 Radio Request Form
Thank you for your interest in Monster Energy Carolina Rebellion, May 4, 5 & 6 at Rock City Campgrounds at Charlotte Motor Speedway In Charlotte, NC. Please fill out the information below to apply for media credentials.

DISCLAIMER: Completion of this form does not guarantee your request. Press tickets and passes are limited in quantity. Preference will be given to outlets that have promoted & supported Carolina Rebellion. Note that this form is for radio ONLY. There is a separate application for TV, print & online publications.

PHOTOGRAPHY: Please note that photo pit passes are not issued for radio stations.

ALL REQUESTS MUST BE SUBMITTED BY Friday, March 30. All approved stations will be notified roughly 4 weeks before the festival.

Please list the number of tickets you are requesting. Each person needs a ticket to enter the facility. Furthermore, a media pass is required to enter the press tent, and a photo pass for the photo pit. Media/photo passes are not transferable.

Day Of Show Information
Call Letters *
Your answer
First Name *
(Day Of Show / Onsite Contact)
Your answer
Last Name *
(Day Of Show / Onsite Contact)
Your answer
Tickets *
(3 max; required for entry to the venue)
Media Pass *
(3 max; required for entry to the radio/media tent)
Camping Pass *
(Note: Camping pass provides tent camping for 2 people.)
Any Special Needs
(if applicable)
Your answer
Email *
(For Day Of Show / Onsite Contact)
Your answer
Cell Phone Number *
(For Day Of Show / Onsite Contact)
Your answer
Station Information
Market *
(market served by your station)
Your answer
Format *
(station format)
Your answer
Advance Contact Name *
Your answer
Advance Contact Email *
Your answer
Advance Contact Phone *
Your answer
Mailing Address *
Your answer
Please proofread your form before submitting!
All required fields (marked by asterisk) must be filled out, or the form will not submit.

The Carolina Rebellion web site can be found here:
www.CarolinaRebellion.com

If you have any additional questions, please email Shauna Eckstadt at seckstadt@aeglive.com

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