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Lupixx Member Registration Application
This is the form used to Register As A Lupixx Entertainment Group member. Your membership will be services based. Step one will need to have been completed before this application is processed. This form is simple and easy to fill out. However, if you have any problems please feel free to contact our office. 407-603-9893 for help. Thank you!
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Date Time
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MM
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Name
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First
Last
Phone
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Email
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Web Site (if applicable but not required)
Give a brief Bio here
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AGE RANGE 03-65
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Please select
AGE 03-11
AGE 12-16
AGE 17-25
AGE 26-35
AGE 35-44
AGE 45-52
AGE 53-60
AGE 61-65
TALENT DESCRIPTION
*
Please select
MUSICIAN
BAND
PRODUCTION ENGINEER
PRODUCER (FREELANCE)
ACTOR
DANCER
RECORDING ARTIST
PERFORMING ARTIST
GROUP SELECTION
*
Please select
SINGLE PERFORMER
GROUP
CHOIR
ENSEMBLE
CATEGORY SELECTION
Please select
RHYTHM & BLUES
SOUL
POP MUSIC
GOSPEL
CHRISTIAN
CHRISTIAN ROCK
COUNTRY
JAZZ
File Upload (UPLOAD YOUR BIO HERE)
File Upload (UPLOAD YOUR E-AUDITION HERE)
SPEAK TO AN AGENT
MUSIC INDUSTRY
OFFICE RELATED
REGISTRATION
TECHNICAL ISSUES
UPLOAD ERRORS
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