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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 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
YOUR NOMINEE:
(CIRCLE Which Is
Applicable To Your Nominee Basic Requirement For Induction)
SIGNIFICANT Contributor To The Preservation
Of Any Country Music Art
Form!
BORN In Or
Had Residence In IOWA/MIDWEST Area Of The USA!
Singer,
Songwriter, Musician, Entertainer,
Recording Artist, Arranger, Producer,
Engineer,
or other_________________________________________!
PERSONALITY On Radio and TV
Shows Iowa and Midwest Area
I
would like to NOMINATE:
( Print Full Name and any
a.k.a.)________________________________________________
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://____________________________
How
Are You Involved The Country Music Business____________________________
____________________________________________________________________
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: haroldl@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
email address
You
Do Not
Have To Be A Member Of CMSI
And There Is No Charge Of Any Kind To Nominate Some One!
This Form Is © 1984 CMSI All Rights Of Use Reserved.
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