Please print this form, fill out everything that applies to you and submit the proper registration fees to the address on this form.
BAND EXPLOSION
P.O. Box 7217
New Haven, CT 06519
BAND EXPLOSION
STAGE EAST,
EAST HARTFORD, CT
November 9, 2003
Band Registration Form
DEADLINE FOR REGISTRATION IS November 1, 2003
Please circle what applies to you or your band.

This is to confirm my registration at the above event to be held on November 9, 2003
I am a band.
Enclosed is my entry fee for the amount of $100.00
I have _________members in my band.

I am interested in Promotional space. (check here)________
Enclosed is my fee of $25.00.__________

I am a solo artist.___________
Enclosed is my fee of $35.00


________________________________________________________________________
Promotional Space
___Label W/Promotional Items.
I have submitted a check____money order____
Please state your genre of music. This helps us with placement. Thank you.
Type of music_______________________________
______
My category is:
___Punk
___Rock
___Pop
___Metal
___Hard Core
___Contemporary
___Jazz
___Soul
___Hip Hop
___Gospel
___R&B

Name of artist/band.___________________________________________________________
Phone #_____________________________Alt #____________________
Address____________________________________________
City/State______________________________________Zip____________________
Website Address:http://________________________________
E-mail Address:___________________________________________
HOW WERE YOU REFERRED TO THE BAND COMPETITION?

FLYER____INTERNET_____HHW_______WORD OF MOUTH_____

SONG WRITER'S NETWORK (J ROCK/PATTY)_______CT ULTRA RADIO_____
OTHER__________
Need help?
Email us or call us if you have any questions. 203 789-8529. Ask for Ms. Thomas.
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