APPLICATION FOR 2004 ROAD TO MEMPHIS
GATHERING at THE COFFEE GROUNDS, SUNDAY OCTOBER 17TH, 1 PM
NAME OF MUSICIAN(S) AND INSTRUMENT PLAYED
_____________________________________________________
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CONTACT NAME/SPOKEPERSON _____________________________
TELEPHONE NUMBER _______________________
EMAIL_______________________
Best time to call ______________________________
ALTERNATE CONTACT NAME ________________________________
ALTERNATE CONTACT TELEPHONE ________________________________
Please make your check payable to GTCBMS (note Road 2004 in memo field) and mail it with this form to:
GTCBMS Road 2004
P.O. BOX 580704
MINNEAPOLIS, MN 55458
ENTRY FEE IS 45 FOR EACH SOLO ACT AND $10 FOR EACH DUO ACT. Funds will be dedicated to the Get Out of Town Fund to help defray costs of travel for the selected act.