Moana Pacific Composer Registration Form
Name | Ingoa:
*
Phone Number | Tau waea:
Email Address | Īmēra:
*
Address
Street Address
Street Address Line 2
City, State
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
I am a citizen or permanent resident of New Zealand.
*
Yes
No
Date of birth:
*
-
Month
-
Day
Year
Date
I give SOUNZ permission to display my year of birth on my SOUNZ profile page.
*
Yes
No
OPTIONAL: To which gender identity do you most identify?
Female
Male
Transgender Female
Transgender Male
Gender Variant/Non-Conforming
Prefer not to answer
Other
1. Please provide the details of any instances in which your work has been performed, produced, or presented in a professional context:
2. Please upload a current publicity photo in high resolution | Tēnā koa tukua mai he whakaahua ōu o ēnei rā, he whakaahua pai hei whakatairanga i a koe, ka mutu kia arinui tonu:
Browse Files | Hei tirotiro i ngā kōnae
Cancel
of
3. Please upload a biography of 300-500 words for display on the website, or type/paste it into the box below | Tēnā koa tukuna mai, patohia/whakapiria mai rānei ki te pouaka i raro nei tētahi haurongo mōu, kia 300-500 kupu te roa, hei whakairi ki te pae tukutuku:
Browse Files | Hei tirotiro i ngā kōnae
Upload your biography | Tukuna mai tō haurongo
Cancel
of
Type/paste your biography | Patohia/Whakapiria mai tō haurongo
Please list any motu/island nation affiliations:
OPTIONAL: Please upload your current artistic CV, or type/paste it into the box below | Tēnā koa tukua mai, patohia/whakapiria mai rānei ki te pouaka i raro nei tō tāhuhu tangata (CV) mō ō mahi puoro:
Browse Files | Hei tirotiro i ngā kōnae
Upload your CV | Tukua mai tō CV
Cancel
of
Type/paste your CV | Patohia/Whakapiria mai tō CV
If you are a composer of score-based music, would you like SOUNZ to publish any of your scores under SOUNZ Licence?
Yes
No
I need more information before deciding
I do not compose score-based music
Submit | Tuku kōrero
Should be Empty: