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POLKA MUSICIAN DATABASE FORM

Last updated 21 July 2007
Copy this form into an email and send to: PAJPOLKA@VERIZON.NET

NAME:

PLACE OF BIRTH (City,Sate):

DATE OF BIRTH (MM/DD/YYY):

PLACE OF CURRENT RESIDENCE (City,State):

INSTRUMENTS:

1.

2.

VOCALIST?

Yes

No

CURRENT or PRIMARY ORCHESTRA/BAND:

1.

SECONDARY BAND or ALSO PERFORMED WITH:

1.

2.

3.

SELECTED DISCOGRAPHY (Please list up to five recordings which best represent your work in the polka field.

ALBUM/CD TITLE/LABEL/YEAR RELEASED

1.

2.

3.

4.

5.

HONORS (Please list up to three honors or awards you have received in your career: Grammy nominations, IPA, USPA, UPA recognition, etc.).

1.

2.

3.

Contact information: (Optional)

Name:

Address:

City:

State, Zip:

Telephone:

Email:

Web address:

 


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