(* Required Fields)
*Program:
*Applicant (name of artist/group or industry professional):
*Genre of music or professsional title:
*Legal Registered Name:
Notes: The stated company/individual will responsible for the grant, will be issued a T4A tax receipt and cheques will be made payable to this name.
Date of registration (anniversary date), if a company:
*Primary Contact Person:
Relationship to Applicant, if different e.g. manager:
C/O:
*Mailing Address:
*City:
*Province:
*Region:
*Postal Code:
*Email address:
*Website address:
*Daytime phone:
Cell:
Fax:
*Applicant Description:
*Export Status:
(if you are unsure of your export status, please contact the program officer)
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