Music Award Nomination Form

MUSIC AWARD NOMINATION FORM

WHEREAS: The Award Organizer: organizes and administers the award program known as the Award Name: (the "Program") for recognition of musical achievement; and

WHEREAS: The undersigned nominator desires to submit a Nomination for consideration under the Program and agrees to the terms and representations contained in this Nomination Form.

WHEREAS: By submitting this Nomination Form, the nominator acknowledges the eligibility requirements and the Organizer's authority to determine finalists and winners in accordance with the Program rules.

NOMINATOR INFORMATION

NOMINEE / ENTRY INFORMATION

Release Date:   Record Label / Distributor:

CATEGORY / ELIGIBILITY

Nomination Category (select one or more applicable):

Song of the Year    Album of the Year    Best New Artist

Best Performance    Best Production    Other:

I certify that, to the best of my knowledge, this entry meets the Program's eligibility requirements for the applicable award period and has not been submitted in a manner that would render it ineligible due to prior wins or disqualifications.

SCOPE OF ENTRY

MATERIALS & SUPPORTING DOCUMENTS

Enclosures included with this Nomination (check all that apply):

Audio File(s)    Video(s)    Press Pack    Credits Documentation

PAYMENT TERMS (IF APPLICABLE)

Nomination Fee Amount:

Late Payment Penalty: . Fees unpaid within 30 days are subject to suspension of consideration.

TERM AND TERMINATION

Nomination Period Start Date:   End Date:

Notice Period for Withdrawal or Correction of Nomination: days prior to the Program's final submission deadline.

CONFIDENTIALITY

All materials expressly marked as confidential will be treated as confidential by the Organizer to the extent permitted by law; however, the nominator acknowledges that entries submitted for judging may be disclosed to adjudicators, technical staff, and panel members whose duties require access to such materials. The Organizer is not liable for inadvertent disclosure to judges or required disclosures by law.

I acknowledge the confidentiality terms above.

CONSENTS, REPRESENTATIONS AND WARRANTIES

By signing below, the nominator represents and warrants that: (a) they have the right to submit the nomination and to authorize use of the nominated work for purposes of evaluation and promotion if selected; (b) to the extent required, consents have been obtained from performers, songwriters, labels and rights holders; (c) all information provided is true, complete and accurate; and (d) nominator will indemnify and hold harmless the Organizer against claims arising from breach of these representations.

I represent that I have the authority to submit this nomination and to provide the consents described above.

GOVERNING LAW; ENTIRE AGREEMENT

This Nomination Form and any dispute arising out of or relating to it shall be governed by the laws of the State of without regard to its conflicts of law principles.

This document constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior or contemporaneous understandings, whether written or oral. Any modification must be in writing and signed by an authorized representative of the Organizer and the nominator.

CERTIFICATION

By signing, the nominator certifies under penalty of perjury that all statements made in this Nomination Form are true and complete to the best of their knowledge and that they understand that knowingly making a false statement may subject them to civil liability or other remedies available to the Organizer.

I certify that the information contained herein is true and accurate.

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