Georgia Music Center Business Application


Georgia Music Industry Research Project
 Music-Related Businesses/For-Profit Organizations Application

Business/Company Name:
Type of Business/Company:
Primary Contact / Title:
Contact 2 / Title:
Valid Georgia Business Street Address (no PO Boxes)**:
Street Address:     
Suite #:      
City State Zip County   
Check here if Street Address is the same as the mailing address:
Mailing Address:
Mail Suite:
City State Zip County   
Phone1 Phone2 Fax
Main Email:
Alternate Email:
Website:
In Business for: Years    Months
Business License #: State County City  
Application Package Materials (All categories may or may not apply to your business – choose as applicable) - **Other conditions may apply, please refer to website for more details.
Commercially released product**
Music video, promotional/demo video/demo reel or other audio and/or visual presentation of your talent, business, service or product
Bio, Performance and/or Professional Resume outlining related experience in the category you are seeking to be listed under**
Publicity Photo(s)
Professional Affiliations with music-related organization or industry-specific association**
Music industry related awards, other special media and/or industry recognition**
Any certifications or degrees for formal training/education received**
Printed Company Literature**
Press or media write-ups, recognition, etc.
Events/Services/Products/Publications provided on a PRO-BONO basis or distributed FREELY to interested parties (not including company literature)**
Other    
Other

Other
Record studio tracking:   Recording Type

Company Description; (up to 150 words)

Number of Employees Do you have an internship program?      
Number of Years at current location If yes, for what age group(s)?      
Survey: Which would you prefer to use (only Choose 1 or 2, if you don’t have internet access, place a check by 3 as well.)

1. A printed copy of the Directory 2. An internet/online searchable version

3. I don’t have Internet Access

4. Would you be interested in offering your opinions about the music industry?

I have read the Terms of Participation and Disclosure.  I certify that I'm at least 18 years of age: