output form Rise Up 2008 - Pimp-My-Profile.com
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Artist/Group Name:
Type of Music (please check one): Hip-Hop/Rap/Reggae_____ Soul/R&B_____ Rock_____
Primary Contact Name:
Age (each person must be 21 or older):
Birth date (mm/dd/yyyy):
Address
City:
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Primary Phone
Secondary Phone
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My Space URL
Website
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