USA Songwriting Competition     2001 Entry Form        Reference# HC01LA

(Please print this from your printer) If you do not have access to a printer, you may e-mail: info@songwriting.net or call the 24 hour contest line at (954)776-1577 (NOTE: please make copies of this entry form to submit more entries! Enter as often as you like in as many categories as you wish!)

Name:____________________________________________________________________

Address:__________________________________________________________________

City/State/Zip/Country______________________________________________________

Phone:_____________________________ E-mail (if any)__________________________

Song Title:_________________________________________________________________

Payment Type:  _VISA    _Mastercard     _Check/Money Order

Card number:________________________________ Exp:__________________

Signature:______________________________

Make your check or money order for US$30.00 payable to: USA Songwriting Competition

 

Check One Category Only:

_Pop   _Rock/Alternative   _Country   _R&B

_Gospel/Inspirational   _Folk   _Latin   _Instrumental

_Jazz   _Hip-Hop/Rap   _Children   _World

_Dance   _Novelty/Comedy   _Lyrics Only

Collaborators/Band Name (if any):_________________________________________________________

I certify that I have read, understood and accept the rules & regulations of the USA Songwriting Competition.

Signature:_______________________ Date:____________

----------------------------------------------End of Entry Form--------------------------------------------------------

Mail all entries to: USA Songwriting Competition
4331 N. Federal Highway, Suite 403A
Ft. Lauderdale, FL 33308, USA

If this page does not print out properly, please contact: info@songwriting.net

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