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FOR CHECK PAYMENTS:

Payable To:

Street Address:

City: State: Zip:

CD Title:

Artist Name:

Label: Release Year:

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Artist website address:

Label website address:

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We will contact you via email and instruct you where to send additional artist info/reviews, etc. for your webpage.

Please review your info to be sure it is correct. Once you click "Submit" you will be taken to the payment page to pay your $40 registration fee.