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This Application is for Showcasing Bands Only. Submit your application on-line for early consideration or Fill in the Blanks - Print it Out - Mail to Address below

A $15 processing fee must accompany your application. If applying on-line, please send your check no later than 15 days after submission.

**IMPORTANT**

Please include band bio, CD's or recorded material, and press kit along with your submission.

**IMPORTANT**

YOUR APPLICTION WILL BE ACTIVATED UPON RECEIPT OF PAYMENT AND PROMOTIONAL MATERIALS...i.e. CD, Bio, press kit, etc...

Contact(your band contact) (required)

e-mail address: (required if applying on-line)

Band Name:

Town of Origin:

Your Name:

Your Street:

Your Company:

Your City: Your State: Your ZIP:

Phone #: (Include Area Code)

Fax #: (Include Area Code)

Number of Members: Number of Crew Members:

Publishing Company: Type "none" if unpublished

Management Company: Type "none" if unmanaged

Management Street Address:

Management's City: State: ZIP:

Management's Phone: (Include Area Code)

Management's Fax: (Include Area Code)

Management's E-Mail:

Booking Agent:

Booking Agent's Street Address:

Agent's City: State: ZIP:

Agent's E-Mail:

Performing Rights: (Choose from the list of options)

Record Company: Type "none" if you are not on one

A&R Contact:

A&R Street Address:

A&R City: State: ZIP:

A&R E-Mail:

Distributor: Choose One:

Choose the genre that best describes your music:

REMEMBER: A $15 DOLLAR PROCESSING FEE

MUST ACCOMPANY THIS APPLICATION WHETHER MAILED

SUBMITTED ON-LINE

(If applying on-line please reference your band and contact on your check)

MAIL TO:

Route One South

P.O. Box 5563

Richmond, VA. 23220

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