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Henry Mac Fund Application
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Date of Birth
*
Your answer
Musical Instrument(s)
*
Your answer
Website
Your answer
Facebook Account
Your answer
Other Social Media
Your answer
How long have you been playing?
*
Your answer
Are you playing out? If so, say more.
*
Your answer
Who are your top 3 musical influences?
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Your answer
Please tell us how you will use the funds. Please be specific in 50 words or less.
*
Your answer
What first drew you to music and how it has continued to influence your life?
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Your answer
A copy of your responses will be emailed to the address you provided.
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