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General Info
First Name
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Last Name
*
Gender
*
Female
Male
Birthday
*
-Month
Jan
Feb
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Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
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Month
-Day
1
2
3
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5
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30
31
Day
-Year
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1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
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1947
1948
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1951
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1953
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Year
Region
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Midwest USA
Northwest USA
Southwest USA
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Best Contact Phone Number
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Best Time to Contact
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Address
Address 1
Address 2
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State
- None -
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District of Columbia
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Texas
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Wyoming
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Armed Forces (Americas)
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American Samoa
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ZIP code
How did you hear about us?
*
Industry Experience and Background
Creative Category
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Artists
Composers
Musicians
Songwriters
What type of entertainer are you?
*
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Rapper
Singer
Both
Other
Does Not Apply
Select Your Music Genres
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Pop
R&B / Soul
Rap / Hip Hop
Gospel
How long have you been actively pursuing a career in the music business?
*
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One Year
Two Years
Three to Five Years
Five Years or More
How would you like our company to help further your career?
*
Social Media
Copy and paste the full URL including the "https://" in the link.
Facebook Profile or Fanpage
URL
Twitter Profile
URL
Instagram
URL
Google+ Profile
URL
YouTube Profile
URL
Soundcloud
URL
Linkedin
URL
Other URL link to your music or songs.
URL
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Songwriters Wanted Form
