Name

First Name

Last Name

Phone

(###)

###

####

Where are you located?

How long have you been composing?

Please share website and/or links to stand out work

What genre(s) do you prefer to write in?

Play any instruments? Do you sing?

Do you have any union affiliation (SAG/AFM)

Anything else you’d like to add to help us get to know you? (bio, background, likes/dislikes, fun facts?)