The Great Atlanta

Talent Search

LOVEARTISTNETWORK

Application

Name of Performer(s): _______________________________________________

Contact Person: ____________________________________________________

Phone #: ___________ Fax: ___________ E-mail: _________________________

Address: _________________________________________________________

City: _____________________________ State: ___________ Zip: ___________

Type of Performance: ___________________________________________

____

Number in Group: ___________

Check bellow all promotional material submitted:

Photo: _____ Tape: _____ CD: _____ Other: ___________________

   Bar B Que Cook Off Video Special

   Recieve a Video of Your performance ........ $25.00

]Registration Fee:  Solo...... $50.00

                               Groups......$75.00

Signature: _____________________________ Date: ______________

REFERED BY:

Promotional material submitted will not be returned. Fees paid are not refundable.

GREAT ATLANTA TALENT SEARCH