GREAT AMERICAN SONG CONTEST
ENTRY FORM

(Please PRINT CLEARLY)

Name:____________________________________________

Address:__________________________________________

 City _______________State/Province: _______ Zip ______

Telephone: ________________ E-mail:_________________

Signature: ________________________________________
(I state that I am the writer or co-writer of the songs or lyrics I've entered.)

NOTE: The same song may be entered in multiple categories. A separate entry fee is required for each.
Form may be copied to enter additional songs. Entry limit is 10 songs per songwriter per year.

Song Title 1: ____________________ Song Title 3:_________________________
Category: ______________________ Category: ___________________________
Writer(s): _______________________ Writer(s): ___________________________

Song Title 2: ____________________ Song Title 4:_________________________
Category: ______________________ Category: ___________________________
Writer(s): _______________________ Writer(s): ___________________________

                                                               PLEASE CHECK:  [ ]  Mail my evaluations / SASE enclosed. (Refer to RULES)
                                                                          [ ]  NO EVALUATION option: SAVE $5 per entry!

Number of entries:
(First 2 entries:) _________ x $30 =  ______
(After first 2:) ___________ x $25 = ______

TOTAL : _____________________________

* Make checks and money orders out to: Songwriters Resource Network
Mail entry forms, fees & songs to: Great American Song Contest:
PMB 135, 6327-C SW Capitol Hwy., Portland OR 97239
( Click here to print our mailing label )

* Postmark Deadline is October 31, 2012 *

To pay by credit card, use secure link below

CATEGORIES:


To pay entry fees with a credit card, use the secure form below
(Click the drop-down arrow to quickly calculate the entry fees.)

NOTE: If you pay entry fees using a credit card, please include a copy of the payment receipt when you mail in your entries.

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