Entry Authorisation Form

 

ENTRY NUMBER

Signature
This form should be signed, by the designated The Amp 2007 Contact as detailed in the completed Entry Form and who is either the Artist entering, a member of the Artist entering, or an executive from an entity contracted to the Artist, such as the Management or Record Company of the Artist. Where multiple names appear on this form, the representative signs on behalf of all.

Name

Position/ Relationship to Artist


Signature

Date

Authorisation from a related entity
This section needs to be completed if the Artist and/or Entry has a contracted relationship with another entity (such as a record company) and such relationship relates to equity in the Entry by the other entity because such other entity has provided funding (such as for recording and/or marketing) or services such as distribution.

Entity Name

Representative Name

Position

Phone (direct # inc. area code)

Email


Signature

NOTE: By signing this form you acknowledge that the above entity authorises the above Artist to enter their album into The Amp 2007 and that if they win the Prize, any prize monies will be paid in full to the Artist as entered.

Date