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 (M/ D/ Y):
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 three recordings which best represent
your work in the polka field.
ALBUM/CD TITLE/LABEL/YEAR RELEASED
1.
2.
3.
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:
Copy this form and paste into an email. Submit this form via email to: PAJPOLKA@VERIZON.NET or email for a postal address.
The Polka Musican Database is provided as a service. The Polish
American Journal and the Polka Musician Database committee are not responsible for errors, incorrect or blank entries.
This database listing is the property of the Polish American Journal. Any reproduction, republication or use of this information without the written consent of the Polish American Journal, Steve Litwin or Mark Kohan, is strictly prohibited.
Questions or comments about this database, E-mail:
Copyright 2007 Polish
American Journal