Author Information / Información de Compositor(a)
Sign in to Google to save your progress. Learn more
Name(s) / Nombre(s) *
Last Name / Apellido(s) *
AKA / Alias
Date of Birth / Fecha de Nacimiento *
MM
/
DD
/
YYYY
Mailing Address / Dirección *
Phone Number / Teléfono *
E-Mail / Correo Electrónico *
SSN or CURP / Número de Seguro Social o CURP (This number will be confidentially obtained through you. Este número se le preguntará de forma individual confidencial.) *
PRO Affiliation / Afiliación de Sociedad *
CAE/IPI Number / Número Socio
Disclaimer / Aviso
By sending your information through this form, you acknowledge and agree that Azteca Publishing, Inc. will not share your information and will keep your data in in a secure and confidential format.

Al enviar su información, usted se da por enterado(a) que Azteca Publishing, Inc. no compartirá sus datos y los guardará de forma segura y confidencial.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Azteca Music Group.

Does this form look suspicious? Report

Google Forms