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Music and Movie Awards Show

Music & Movie Awards Registration Form

Music or Movie Registration Information

First name *

Last name *

Address

City

State

Zip

Phone Number * - -

Email Address *

Confirm Email *

Instagram, Facebook, Youtube, Soundcloud Page Info *

Music Awards Category

Music Nomination Categories

What Name Would You Like Listed for Your Fans To Find You (Stage Name, Company's Name, ect)

Stage Name / Company Name / Studio Name /DJ Name / Radio Host Name / Music Video Name / Management

Were Can We Listen To Your Music Link To Youtube or Soundcloud

Movie Awards Category

Movie Catergories

Please Enter Your Voting Nomination's Name (Movie Name, Actor Name, Director Name, ect

Movie Project's Title / Director / Producer / Actor / Actress

Vimeo or Youtube Link To Watch Your Movie or Work Completed

Image Upload

File Upload

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You are only submitting information to be considered for the voting rounds for the Music an Movie Awards Show, if selected for the final voting round you will be contacted if chosen.

I, the undersigned, agree to the terms above: