Blues Challenge Contest Form

Band Name ________________________________

BBS Member _______________________________

Contact ___________________________________

Phone ____________________________________

Email _____________________________________


Address
________________________________

________________________________

________________________________

Check List:
Be sure to include the following.


Tape/CD __________

Bio __________

Photo __________

If selected our band is willing and able to attend the International Blues Challenge in Memphis, TN - January 31 - February 4, 2012.

Signed _________________________________    Date _____________