Awards Form

CONCERT DIVISION

JAZZ DIVISION

POPULAR DIVISION

-- Genre or style (optional):

NAME:

ADDRESS:

CITY:

STATE:

ZIP:

MEMBER CODE:

E-MAIL ADDRESS:

RECENT COMPOSITIONS -- (indicate if commissioned)
List titles of new works including date composed (mm/yy), co-writer(s) and publisher (if any) and a brief description. Concert works should also include duration.

RECENT RECORDINGS --
List title of recording, date of release, label and performing artist(s).

RECENT PERFORMANCES OF YOUR ORIGINAL COMPOSITIONS (including premieres) --
List dates, titles of works, venues, location and performing artist(s).

PRIZES, HONORS, ETC.

ADDITIONAL REMARKS (optional)