Hazel Dickens Contest Entry

To pay your Hazel Dickens Song Contest entry fee(s) online via credit card or PayPal, please fill out and submit the form below. When you click "Submit", your browser will automatically transfer you to paypal.com to complete your payment. If you aren't transferred, please set your browser to allow a one-time pop-up from paypal.com.
Hazel Dickens Songwriting Contest Entry Fee*
Price: $30.00 Quantity:
$30.00 per song entered; please set "Quantity" to the number of songs you are entering.
Total
$0.00
Contestant Name*
First Last
Email*
Enter Email Confirm Email

Please enter the same email address that you are using to submit your entries or Dropbox share.
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone
I am submitting my entries via:*
- email
- Dropbox share
Songs Entered*

Please enter the title, copyright date, and co-writer name(s) (if any) for each song entered, one song per line. Click the + button to add lines.