REGISTRATION FORM

Full group) Name Members, group): Song Title/ Singer: Address Date of Birth: (mm/dd/yy) If group, LAST NAME/Date of Birth Name (if a

group, Name of the of (if the a

Gender [ If ]M group, [ ]F the number in of the members put

corresponding parenthesis.

Contact # Email address

I certify that the entry is originally done by the undersigned and I am fully aware of the consequences of copyright infringement.

______________________________________ Signature over printed name (If group, Signatures of all members)