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COUNTRY
MUSIC SHOWCASE INTERNATIONAL, INC.
Iowa
Nonprofit Org. #135465
IOWA/MIDWEST
“VIRTUAL” COUNTRY MUSIC HERITAGE
MUSEUM, LIBRARY, HALL OF FAME
******* PLEASE PRINT OUT THIS OFFICIAL FREE FORM ******
OFFICIAL “HALL
OF FAME” NOMINATION FORM
_____INDIVIDUAL
_____ BUSINESS
_____ORGANIZATION
(Put
A Check Mark By One, Two Or All Three Of The Above
Categories For Nominee To Be Under)
BASIC REQUIREMENTS FOR
NOMINATION/INDUCTION INTO
THIS HALL
OF FAME ARE LISTED BELOW:
SIGNIFICANT Contributor To The Preservation
Of Any Country Music Art
Form!
BORN In Or
Citizen Of The United States Of America
YOUR NOMINEE:
(CIRCLE ALL That Is
Applicable To Your Nominee Basic
Requirement For Induction into this Hall Of Fame)
Singer |
Songwriter | Musician | Entertainer |
Recording Artist | Arranger |
Producer |
TV Personality | Radio (DJ) Personality | Audio Engineer |
other_____________________________________________________
I
would like to NOMINATE:_________________________________________________
For
INDUCTION Into The Iowa Midwest Country Music Heritage
Hall Of Fame.
(If
Living) Their Address:__________________________________________________
City:______________________________________ State_______Zip_____________
Ph.
(
) __________ ________________e-m:___________________________
(If
Deceased/ Internment Site)_______________________________________________
Please Use The Back Side Of This
Nomination Form To List All Music Contributions And Achievements.
Include Any Photos You Would Want To Be Used.
*************************************************************
The
PERSON Providing The Above Information Please Fill Out Section Below.
(Please Print)
Name______________________________________________________________
Title: (Circle One) Wife | Friend | Associate |
Other:_____________________________
Address:_____________________________________________________________
City:_______________________________________State________Zip___________
Ph.(
) __________
___________________e-m_______________________
Your Web Site: http://___________________________________________________
Person Making Nomination - Are You Involved The Country Music Business
YES | NO
If So, How:____________________________________________________________
_____________________________________________________________________
Return
This Form To:
Harold Luick, CEO, Historian, Curator
Hall Of Fame Nomination
P.O. Box #368
Carlisle, Iowa 50047-0368
515-989-3748
e-mail:
museum@cmshowcase.org
Web
Site:
http://www.cmshowcase.org
****To
donate to the museum send payment through Pay Pal using
donations@cmshowcase.org as
the payee address
You
Do Not
Have To Be A Member Of CMSI To Nominate Some One!
This Form Is © 1984 CMSI All Rights Of Use Reserved.
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