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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 

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