GREAT AMERICAN SONG CONTEST
* No Evaluation *
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): ___________________________

Use this form only if you are choosing the No Evaluation option.
Save $5 per entry!
                                                 

No Evaluation option:
(Number of entries:) ______ 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 by credit card, click button below:

NOTE: If you pay your entry fees using a credit card, please include a copy of your payment receipt when you mail in your songs.
If you choose to e-mail your songs directly to us, pay your entry fees here and refer to: GASC Direct Entry

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