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Entry For
Entry Form
Name of The Act,
BAND:___________________________________________________________________________
or SOLO/DUO: ___________________________________________________________________
Spokesperson’s Signature: ________________________________________________________
Spokesperson’s Name (Print): _____________________________________________________
Home Address: ___________________________________________________________________
City/ State/Zip: ___________________________________________________________________
Home Phone: _____________________________________________________________________
Email: ____________________________________________________________________________
Alternate Contact: _________________________________________________________________
Phone: ___________________________________________________________________________
The Act :
Member Name Role (instrument &/or vocal)
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Mail This Form with $25 fee if you are a solo/duo act; or $50 fee if you are a band to:
BST Blues Challenge
P.O. Box 2836
Tulsa, OK 74101
Ph# Christina 918-520-2453