2011 Song Contest Entry Form

By checking this box, I indicate that I have read and agree to abide by the 2010 Song Contest rules:*
Yes

Name:*

Stage Name (if different):

Street Address:*

City:*

State / ZIP Code:*

Phone:*

Email Address:*

Website (type "N/A" if you do not have one):*

Song #1 Title:*

Song #1 Writer(s):*

Song #2 Title:*

Song #2 Writer(s):*

If chosen as a finalist, how would you perform your songs? List yourself and your instrument here:*

You may include one additional musician, if desired. List musician's name and instrument here:

Membership/payment options (select one):*
I am already a member of NCSC; I will pay $25 for 2 songs.
I am not a member of NCSC; I will pay $35 for 2 songs.
I am not a member of NCSC; I would like to join. I will pay $45 for 2 songs plus membership.

Questions or Comments:

Please type the text below: