Mash-ville Submission Form |

I. PERSONAL INFORMATION

Name of Entrant *

First

Last

Name of Parent/Guardian (If applicable)

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Email *

Email

Confirm Email

Secondary Email

Email

Confirm Email

Primary Phone *

Secondary Phone

How did you hear about this competition? *

II. SONG SUBMISSIONS

If you need to submit more than seven (7) songs, please submit an additional form.

SONG TITLE #1 *

Category *

If "Other," please describe.

Writer(s') Name(s) *

Song #1 Audio Recording *

Click or drag a file to this area to upload.

Song #1 Song Lyrics *

Click or drag a file to this area to upload.

Please submit a .doc or .pdf of the lyrics typed out.

SONG TITLE #2

Category

If "Other," please describe.

Writer(s') Name(s)

Song #2 Audio Recording

Click or drag a file to this area to upload.

Song #2 Song Lyrics

Click or drag a file to this area to upload.

Please submit a .doc or .pdf of the lyrics typed out.

SONG TITLE #3

Category

If "Other," please describe.

Writer(s') Name(s)

Song #3 Audio Recording

Click or drag a file to this area to upload.

Song #3 Song Lyrics

Click or drag a file to this area to upload.

Please submit a .doc or .pdf of the lyrics typed out.

SONG TITLE #4

Category

If "Other," please describe.

Writer(s') Name(s)

Song #4 Audio Recording

Click or drag a file to this area to upload.

Song #4 Song Lyrics

Click or drag a file to this area to upload.

Please submit a .doc or .pdf of the lyrics typed out.

SONG TITLE #5

Category

If "Other," please describe.

Writer(s') Name(s)

Song #5 Audio Recording

Click or drag a file to this area to upload.

Song #5 Song Lyrics

Click or drag a file to this area to upload.

Please submit a .doc or .pdf of the lyrics typed out.

SONG TITLE #6

Category

If "Other," please describe.

Writer(s') Name(s)

Song #6 Audio Recording

Click or drag a file to this area to upload.

Song #6 Song Lyrics

Click or drag a file to this area to upload.

Please submit a .doc or .pdf of the lyrics typed out.

SONG TITLE #7

Category

If "Other," please describe.

Writer(s') Name(s)

Song #7 Audio Recording

Click or drag a file to this area to upload.

Song #7 Song Lyrics

Click or drag a file to this area to upload.

Please submit a .doc or .pdf of the lyrics typed out.

III. PAYMENT

Payment may be made via check or money order, credit/debit card, or cash. Please indicate how you wish to provide payment, and fill out the appropriate information below. **Check or money orders need to be made out to "Steeple Street Music Academy, Inc." and either brought to the physical school at 40 Steeple Street in Mashpee Commons or sent to: 11 Market St., PO Box 1304, Mashpee, MA 02649.**

Preferred Method of Payment *

If by credit/debit card, please fill in the information below.

Name on Card

First

Last

Card Number

Expiration Date

Month/Year

CVV Number (3-digit code on back of card)

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Check off the number of submissions in this form. *

First song is $25.00, and each additional song is $10.00.

Total Payment Due *

$ 0.00

IV. ELECTRONIC SIGNATURES

Please sign below, indicating you acknowledge and understand the following statements. (If entrant is under 18 years old, the parent or guardian should sign below instead of the entrant.)

I promise to pay in accordance with the payment terms stipulated above. *

I certify that I am the writer and/or co-writer of the song(s) submitted. I also certify that I have read, understood, and accept the eligibility requirements, rules, and regulations as stated on the Steeple Street Music Academy's Mash-ville Songwriting Competition Form. *

Form can be found on our website at: www.steeplestreetmusic.com

Date / Time *

Date

Time

V. TROUBLESHOOTING

If you are having trouble submitting your original music via this online form, please submit all of the information required above to: kbecrelis@gmail.com. It's likely that the files you are trying to upload are very large and are freezing the submission process. If you continue to have issues, please contact us at (508) 681-8422, and we will help you reach a resolution.