Composer Information FormThis form is designed to collect the most up to date information on our Composers. Name* First Last Imprint(s)* Hinshaw Music H.T. Fitzsimons Epiphany House Fred Bock Music Company Gentry Publications National Music Publishers Jubal House Please share with us the Imprint(s) of which you are published. Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Website Facebook Profile In order to better promote our composer's work, we ask that you share your Facebook Profile Page with us. Although not mandatory it does help us to promote your work to a greater audience. Instagram Profile In order to better promote our composer's work, we ask that you share your Instagram Profile Page with us. Although not mandatory it does help us to promote your work to a greater audience. Twitter Profile In order to better promote our composer's work, we ask that you share your Twitter Profile Page with us. Although not mandatory it does help us to promote your work to a greater audience. LinkedIn Profile In order to better promote our composer's work, we ask that you share your LinkedIn Profile Page with us. Although not mandatory it does help us to promote your work to a greater audience. Performance Video URL* Please share with us the URLs (web addresses) of the performances of your music. This will allow us to better market your music. Performance Video URL Please share with us the URLs (web addresses) of the performances of your music. This will allow us to better market your music. Performance Video URL Please share with us the URLs (web addresses) of the performances of your music. This will allow us to better market your music. Performance Video URL Please share with us the URLs (web addresses) of the performances of your music. This will allow us to better market your music. Performance Video URL Please share with us the URLs (web addresses) of the performances of your music. This will allow us to better market your music. File Upload* Drop files here or Select files Accepted file types: png, jpg, pdf, Max. file size: 20 MB, Max. files: 3. Please use this feature to upload an updated biography, photograph of yourself, or any other relevant information. Biography*Tell us about yourself! We like to learn as much as we can about our composers. Perhaps it's been a while since you've updated your biography and you want to freshen it up with new information?Additonal Information To SharePlease utilize this area to provide information which you believe to be relevant but not covered asked for above. Please note: This area should not be used for asking questions. Inquiries should be sent to info@fredbock.com EmailThis field is for validation purposes and should be left unchanged.
