2011 Blues Blast Music Awards Submission Form

 Eligible release period for the 2010 awards is from April 1, 2010 to March 31st, 2011

INSTRUCTIONS: Please hit the PRINT button to print this form. Fill this form out and include it in each box of CD's that you submit.  Please enclose a separate copy of this form for each release submitted for consideration. This option gets your release into the hands of the Blues Blast Music Award Nominators. Simply send in 30 individual copies of your release and we will forward them to the nominators. There is no charge for this service in 2011.

IMPORTANT - Your Submission MUST be received by April 15th, 2011 to be included in the submissions sent to the 2011 nominators.

Contact Information of Person Submitting this Release

Name  _______________________________  Address _______________________________________


City  ____________________   State/Region ______________  Zip/Postal Code ___________________ 


Country _________________  Company ______________________________ 


Website URL: ________________________________________


Email _____________________________  Contact Phone#  _______________________________


 Release & Artist Details  

Artist Name  __________________________________   CD Title _______________________________________


Official Release Date _________________________________ Record Label _______________________________________  

 Include this form in the box and mail 30 individual copies of the CD or DVD to:

Blues Blast Magazine
2011 Blues Blast Music Awards
PO Box 721
Pekin, IL 61555