(Podunk Contest Main) ( Release Form) (Online Entry Form) (Contest Rules) (CSA Home) (Podunk Festival) The Podunk Bluegrass Songwriting Contest Entry-by-Mail Form Entry Fee: $28.00 per song First Prize $300 cash, Lifetime membership to CSA ($400 value)  Total prize value - $700 Second Prize $100 and a pair of 4-day tickets to the 2011 Podunk Bluegrass Festival ($180 Value) Third Prize $50 and A pair of Tickets to the 2011 Podunk Bluegrass Festival Accepted entries will receive an admission ticket to Podunk for Saturday, August 4, 2012 (print this form and mail it with a copy of your lyrics, a recording of your song, a signed release form, and the $28 entry fee payable to CSA to:  CSA, PO Box 511, Mystic, CT 06355 ) Your Name: _____________________________________________________________________ Address:     ______________________________________________________________________ City,State, Zip:  _____________________________________________________________Country____________ E-mail (print clearly!)   _____________________________________________________________ Song Title: _______________________________________________________________________ Co-Writer(s), if any  ________________________________________________________________ This form and a $28 check must accompany each song entered, along with a signed release form, a copy of the song lyrics (if applicable)  and a recording of the song. Print, complete, and mail your entry to: CSA, PO Box 511, Mystic, CT 06355. Entry must be received/postmarked by May 1, 2012. I certify that I have read and understand the Official Rules of THE PODUNK BLUEGRASS SONGWRITING CONTEST, and I accept the terms and conditions of participation in this contest as stated in the official rules. Signature: ________________________________________________ Date __________________ Note: If entrant is under 18 years of age, the signature of a parent of guardian is required Parent/Guardian Signature: _______________________________________ Date __________ Print, complete, and mail your entry to: CSA, PO Box 511, Mystic, CT 06355. Entry must be received by May 1, 2012 (postmark is acceptable)  Only entries submitted according to the rules will be considered. No deadline extensions.  No exceptions.  Two Ways to Enter: By mail or online (there is a $3 online processing fee, but you save time, trees, and postage)  For mailed entries, one CD or cassette per entry,  One song per CD or cassette.  Multiple entries may be mailed in one package and paid with one check, as long as each has its own  forms and recording.  Domestic mail entries accepted only at the PO Box 511 in Mystic via US Postal Service  The Podunk Bluegrass Songwriting Contest does not acknowledge receipt of entries submitted by mail. Only finalists will be notified personally of the results of first round judging. The contest will not release judges’ scores nor provide personal evaluations. Writers of songs selected for the finals will perform them live at Podunk For more information: www.ctsongs.com podunkbluegrass.net E-mail: info@ctsongs.com

PO Box 511 Mystic CT 06355  --  E-Mail: info @ ctsongs.com