1. Your Contact Info

Please fill in the best way we can reach you. You will serve as the contact person who represents your act.

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* 1. What is your first and last name?

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* 2. If your ensemble/band/act has a name, enter it here.

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* 3. What is your email address?

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* 4. What is your mobile phone number?

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* 5. What city do you live in?

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