Application Form

Band name*

Address: City / Town and postal code*

Address: Street and house number*

Country*

Phone number*
prefix i numer

E-mail*

Myspace

WWW

Informations
about Band
and Band's rider*

Accepted file types: doc, docx, rtf, pdf. Max. 3MB:

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Photos*

jpg, tif format max. 3MB:

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Compositions mp3, acc, wma*

mp3, acc, wma format max. 10MB:

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Regulations*

I have read and accepted the Regulations

Statement*

We declare that all members do not exceed 35 years

Please enter the word you see in the image below:*