CMT/NSAI SONG CONTEST ENTRY FORM
Print & mail completed form to
NSAI with your song(s), lyric sheet(s) and payment. You may enter as many times as you wish; however, the entry
form only provides room for two songs. You may print out or copy additional entry
forms to enter additional songs.
Name: ________________________________________________________ Age: _______
Address:
__________________________________________________________________
City/State/Postal
Code:_______________________________________________________
Province/Country:
___________________________________________________________
Phone: _________________________ E-mail:
____________________________________
Song Title: _________________________________________________________________
Song Title (if entering two songs):
_______________________________________________
Are you a current NSAI member? (You
do not have to be a member to enter nor will your answer in any way affect
judging.) Yes [ ]
No[ ]
REQUIRED: How did
you hear about the CMT/CMT.com NSAI Song Contest?
[ ] Through the Mail
[ ] Received Email
[ ]
Magazine/Newspaper, please list publication: ______________________________
[ ] Internet, I saw
it at www.______________________________.com
[ ] Radio, I heard
it on ______________________________
[ ] TV, I saw it on
______________________________
[ ] Other:
______________________________
REMEMBER TO INCLUDE LYRIC SHEET(S) TYPED OR PRINTED LEGIBLY!
EACH SONG ENTERED MUST BE ON A SEPARATE CD OR TAPE.
$40 for one song if received on or before September 30, 2004
$55 for two songs if received on or before September 30, 2004
$45 for one song if received on or after October 1, 2004
$60 for two songs if received on or after October 1, 2004
**CURRENT NSAI MEMBERS RECEIVE A $5 DISCOUNT ON ENTRY FEE.
If paying by credit
card, circle one: VISA
American Express MasterCard
Card #: ________________________________________ Expiration
date: ______________
Name on card: ___________________________ Signature:
__________________________
If paying by check or money order,
make payable (U.S. funds only) to: NSAI
Mail entries to:
NSAI -- "ATTN: SONG CONTEST"
1701 West End Avenue, 3rd Floor
Nashville, TN 37203
I have read and understand the rules of the
CMT/NSAI Song Contest as they appear in the Rules and Regulations section on
this website, and I accept the terms and conditions of participation. (If
entrant is under 18 years old, the signature of a parent or guardian is required.)
Signature:
_________________________________________ Date: __________________