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Musician’s Referral Service Quick Application - Print it, fill it out and mail Feel free to turn application over to add more information or you may attach more information on other sheets Name_______________________________________________________________________________ Street or PO Box #_______________________________________________ Apartment #____________ City_____________________________________________State_____Zip____________ Email ________________________Website:____________________________________ Phone number to be listed________________________ Other Number(s)_______________________________ Year of birth________ Height_________ Weight_______ Marital Status_______________ Primary instrument (If singer write “Vocalist”)_____________________________________ Other instrument(s)_________________________________________________________ Are you a lead singer?________ If so, how many songs? ________ Do you sing background parts?_______ If so, what parts?___________________________________________________________ Musical Style(s)____________________________________________________________ Experience / References_______________________________________________________ _________________________________________________________________________ Training / Education _________________________________________________________ _________________________________________________________________________ Type of job you are seeking___________________________________________________ I would like my ad to read as follows: (Please use only 65 total spaces) You do not have to list your name, phone number or instrument is this section. ____________________________________________________________________________________ _____________________________________________________________________________________ Please check the service that applies to you ____ I want to take advantage of the annual fee of $125.00 - 12 months of service with no application fee. ____ I live in Tennessee. I am sending $35.00 ($20 application fee plus $15 for my first month) ____ I live outside Tennessee. I am sending $45.00 ($30 application fee plus $15 for my first month) Please make checks payable to Dick McVey and mail your check and this application to: Dick McVey - 105 Meadowlake Drive, Hendersonville, TN 37075 CREDIT CARDS AND PAYMENTS ARE ACCEPTED VIA PAY PAL www.paypal.com QUESTIONS? EMAIL ME AT dickmcvey@comcast.net Sample Listings John Smith Steel / Utility player Vocals 615-555-6666 Local or road work-Top equip-Refs-Lots of pro exp-No bad habitsJoe Jones Guitar-Lead & Rhythm Vocals 615-555-7777 All offers-Artist, Live & Studio exp-LD & BU Vox-15 yrs pro-Read Roy Roane Drums Vocals 615-555-8888 All offers-All styles-Have major artist exp-Top equipment-Road ready
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