*Required fields
*Group Name:
*Contact Person:
*Address:
*City:
*State:
*Zip Code:
*Daytime Telephone:
Evening Telephone:
Email Address:
Which days will you be attending the Convention? Friday
Saturday
Both (Friday & Saturday)
*What form of Music do you use?:
(please answer next question if
Instruments or Item is not on the list.)
*Check the Instruments you use:
(if needed) 		Bass
Drums
Guitar
Mandeline
Piano
Steel Guitar
Other (please list below)
*How did you hear about our Convention?
*Have you ever participated
in this convention?
Does you group have a web adress? Yes
No
Going to get one soon!
If yes, web site url:



Advertisement Form         (Optional)
Would You Like To Advertise
In The Convention Ad Book?
(prices vary from size wanted.) 		Yes
No
What Size Advetisement
Would You Like?:
(make Check or Money Order to KSGMSC) 		1/4 Page Ad $25
1/2 Page Ad $50
Whole Page Ad $100
What Information Would
You Like In The Advertisement?
(please list below)

Mail Photos & Payment To:

KSGMSC, c/o Joyce Wells,
10814 Marcitis Rd.
Louisville, KY., 40272

Digital Photos: send in .jpeg form to; ksgmsc@ksgmsc.org

create web form
After pressing submit button, please wait for it to send information then click Continue.