Hall of Fame Inductee Form

Up to four (4) complimentary ceremony tickets and up to two (2) complimentary rooms will be provided for each Inductee/Performer and guest(s). Rooms are for Saturday, March 26, 2022.

Please list the names for the recipient of each ticket and name(s) for the room(s) reservation. Additional tickets may be purchased and cost $20 each, however, seating is limited.

Please mark N/A for any tickets or rooms not requested.

Please submit this completed form/photos/biography to the Wilkes Heritage Museum by Friday, January 7, 2022.

Name(*)

Please let us know your name.

Home Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Email Address(*)

Please let us know your email address.

Home/Business Phone(*)

Please let us know your home or business phone number.

Cell Phone

Please let us know your cell phone number.

Ticket #1

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Ticket #2

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Ticket #3

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Ticket #4

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Room #1

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Saturday, March 26, 2022

Room #2

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Saturday, March 26, 2022

Official Biography

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Upload your official biography - Length of Bio may be edited for the printed program. If you have a website you wish to use, please provide the link in the field below.

Official Biography Website

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Photo(s) for printed program and plaque

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You may use the same photo or choose a different one for each venue. A headshot is necessary for the plaque. If you want to use a website link instead, please provide the website link in the field below. OR please Email (preferred) to Jennifer Furr at directorwhm@wilkes.net

Photos Website Link

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Are you willing to perform a couple of songs as a part of the musical tribute if applicable?

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If Yes, you will be contacted about the performance. Rehearsals will be held earlier the day of the induction ceremony. If applicable, you will be contacted about the rehearsal schedule before March 26, 2022.

Do you have any memorabilia that you would like to donate or loan to the Wilkes Heritage Museum to be put on display in the Blue Ridge Music Hall of Fame Exhibit?

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Authorization to Release Information(*)

Confirm

Please check here to confirm your authorization to release information.

Check this box to confirm your authorization to release information

Questions or Comments

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(*)

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Please submit this completed form/photos/biography to the Wilkes Heritage Museum by Friday, January 7, 2022.

2022 Blue Ridge Music Hall of Fame Inductee Form