Plugged In Artist Showcase Registration Form
JANUARY 14, 2022 SHOWCASE
Youtube
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What best describes you?
*
Artist
Label
Producer
Dancer
Media
Which showcase are you interested in?
*
Atlanta
Dates for additional cities may be announced
Tell us more about you
*
Social Media Handle (Instagram)
*
Upload music here:
Browse Files
Cancel
of
My Products
*
prev
next
( X )
Single Package
$
500.00
Showcase Package
$
750.00
Plug Package
$
1,000.00
Total
$
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
Should be Empty: