Write a Polka Contest

You may fill out the online form below to submit your entry or click here to print out an entry form and mail it along with your written song to:
Write a Polka Contest
Cottonwood Press, Inc.
109-B Cameron Drive
Fort Collins, CO 80549

First Name	*
Last Name	*
Mailing address	*
City	*
State
Zip	*
Email address
Phone number	*


Name of Song
Please check each that apply.		I wrote the lyrics for this polka. I composed the melody for this polka. I collaborated on this song.
Agree to Terms
I certify that my contribution to this song is original and has not been copied from the work of any other composer, lyricist, band, or other entity.
Agree		Yes No
Upload a PDF of your polka song.