JIMWEEKEND 2021 Submission Form

JIMWEEKEND 2021 Submission Form

JIMWEEKEND 2021 is slated for June 4-6, 2021. Please fill out form completely. All submission requirements are mandatory. If you are not a resident of Mississippi, you are required to submit a $25 non-resident fee at the bottom of this form. For questions, please email music@jxnindiemusic.com. Good luck!
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Current Address *

Street Address

Street Address Line 2

City State

Zip Code
Mississippi Residents - please upload state- or government-issued ID. Be sure to use discretion and cover your address. We only need to see name and photo as proof of residence.

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Band / Artist Name *
Genre *
Primary contact is... *

Band Lead Artist / Musician Manager
How many members are in your band (including you)? *
Instagram Profile Name
For Music Submissions: Please upload three (3) ORIGINAL songs. No covers.

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Please upload one (1) press-ready photo. Make sure it does not include text or words. *

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Please list your last (10) performances (before or during the pandemic). Include venue, location, and contact information.
Please provide a short bio. *
I understand that if I am not a resident of Mississippi, I am required to pay a $25 non-resident fee with this application. Payment button below. *

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JIMWEEKEND 2021 Non-Resident Submission Fee $ 25.00

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Credit Card Number	Security Code
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Please click one of the PayPal options to complete payment and submit the form.

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