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Last Name______________________________ First Name_______________________ Address________________________________ City_____________________________ State/Province_______________ Zip/Postal Code __________ Country______________ Area Code & Phone Number_________________________________ Age____________ E-Mail Address __________________________________________________________ Song Title _______________________________________________________________ Collaborators (if any) ______________________________________________________ Songwriting Category (select one per entry) 1. Country 2. Rock 3. Other Make check or money order for $10 per entry to: LyricsReview.com Song Contest Total amount enclosed: $_____________ I certify that I have read the
LyricsReview.com Songwriting Contest official rules and
If entrant is under 18 years of age, the signature of a parent or legal guardian is required Signature _________________________________________________ Date ______________ Parent/Legal Guardian Signature
All entries must be received by February 29th, 2000.
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