2014 ENTRY FORM

Reference# INT1

(Please print this from your printer) If you do not have access to a printer, you may e-mail: info@songwriting.net or call the 24 hour contest line at (954)537-3127 (NOTE: please make copies of this entry form to submit more entries! Enter as often as you like in as many categories as you wish!)

Name:____________________________________________________________________

Address:__________________________________________________________________

City/State/Zip/Country______________________________________________________

Phone:_____________________________ E-mail (if any)__________________________

Song Title:_________________________________________________________________

Payment Type: _VISA _Mastercard _Check/Money Order

Card number:______________________________ Expiration date (Month/Year):________

Signature:______________________________

Make your check or money order for US$35.00 payable to: USA Songwriting Competition

Check One Category Only:

_Pop  _Rock/Alternative  _Country  _R&B

_Gospel/Inspirational  _Folk  _Latin  _Instrumental

_Jazz  _Hip-Hop/Rap  _Children  _World

_Dance/Electronica  _Novelty/Comedy  _Lyrics Only

Collaborators/Band Name (if any):_________________________________________________________

How did you hear about the USA Songwriting Competition? ______________________________

I certify that I have read, understood and accept the rules & regulations of the USA Songwriting Competition.

Signature:_______________________ Date:____________ (Entrants 18 years old or younger will requires a parent or guardian to sign on the entrant's behalf)

------------------------------------------End of Entry Form---------------------------------------------------

Mail all entries to: USA Songwriting Competition
2881 E. Oakland Park Blvd, Suite 414
Ft. Lauderdale, FL 33306, USA

E-Mail A Friend: