Georgia Music Industry Research Project
Music Event Submission Application

Name of Event
Sponsoring Group
Event Coordinator
Talent Coordinator
Mailing address
City State Zip County
Phone 1 Phone 2 Fax
Email
Website (if any)
Event Site
Site Address
Cost of Admission
Event falls on what day? Mon Tues Wed Thurs Fri Sat Sun
Type of Live Music Featured: ALL GENRES BELOW
Ambient/New Age Latin Pop
Big Band Polka
Bluegrass Pop
Blues/Soul Punk
Cajun/Zydeco R&B
Children's Rap/Hip Hop
Christian/Gospel Reggae
Classical Regional Mexican
Country Rock
Cowboy/Western Rockabilly
Dance/Electronic Tejano
Folk/Acoustic World Beat
Jazz Other Genres:
Type of Event Activities
Awards Show Age Requirement       
Open Mic Singing and/or Songwriting contests
County Fair Trade Show/Convention
Variety Festival Music Festival
Music Talent Contests/Showcases
Other Activities:
Event Description: Describe your event below.
Survey: Which would you prefer to use (All that apply)

1. A printed copy of the Directory
2. A searchable internet/online version
3. I don’t have Internet Access
I have read the Terms of Participation and Disclosure.  I certify that I'm at least 18 years of age: