Print this form and send it together with your music to (keep one of the copies for your own records)

Taurus Music Oy Ltd,
Tinantie 1,
02430 Masala,
Finland
On envelope must read: BLUES 2006


OFFICIAL SONG SUBMISSION FOR THE BLUES CONTEST

BACKAS JAZZ 2006
Blues Heritage Song Contest
www.backasjazz.fi
June 10:th, 2006
Backas Manor, City of Vantaa, Finland
Organized by Vantaa Jazz Heritage Association, Finland

I am familiar with the
rules and regulations

yes (required)

Artist name

 

First name

 

Last name

 

Date of birth

 

Street address

 

City

 

State

 

Country

 

Zip or Postal Code

 

Telephone number including area and international dialing Codes

 

Cell phone

 

E-mail

 

Name of original song

 

Written by

 

Lyrics by

 

Produced by

 
Artists mentioned above holds all rights to the song yes - IMPORTANT required

Song url if available
HiFi or download link

yes  no

url:  http://

Song attached (CD)

yes  no

Picture attached

yes  no

Picture on the internet

yes  no

url: http://

Date

 

Artist signature

 

Print name

 
I testify that the information given above is correct:

Witness name

Witness name

   

Witness street address:


City:


State:


Country:


Zip or Postal Code:


Telephone number including area and international dialing Codes:

Witness street address:


City:


State:


Country:


Zip or Postal Code:


Telephone number including area and international dialing Codes:

Signature of Guardian or parent if the artist listed above is under 18

Guardian/parent Street address:


City:


State:


Country:


Zip or Postal Code:


Telephone number including area and international dialing Codes:

 

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