Indie International - Sign Up Form for Potential Judges

Please fill out the form below to submit your bio and other information to Indie International.
Once we have your info on file, we will review it for future contest assignments and contact you accordingly.

create a username:

create a password:

first name:

last name:

your "stage" name:

your title:

(i.e. staff writer for xyz publishing co., a&r rep for atlantic records, etc...)

your web address:

email address:

payment option:

how do you want us to pay you for your services?

street address:

city:

country:

USA state:

NON-USA state / province:

postal code:

phone number:

enter your bio below: