Musical Talent Contest Entry Form

All Entry Forms must be submitted between September 15th and October 31st of each year.  (Late entries accepted with approval and all pertinent requirements met before performance)

I certify that I have read and will abide by the rules and regulations of this contest.  (Rules located on main web page for contest.)

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Signed                                                   Date

ENTRY FORM  (Please type or print)

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Name of Entrant or Group

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Age

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Title of Song being performed

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Signatures of all performers

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Street Address
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City                                      State                        Zip Code
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Telephone                                        Email

Second Contact - please list a relative or friend we may phone to reach you.

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Submit this completed form along with your $10.00 Money Order (made payable to Alabama Pecan Festival) to:

Max Media Productions
7272 Theodore Dawes Road, Suite A-101
Theodore, AL  36582

Call us with any questions at:  251-391-5325, or email us at talent@thegulfcoastnetwork.com

Please Note:  You are responsible for bringing any equipment you need for your performance, eg. tapes, CD's, guitar, etc.