VOTING REGISTRATION

Please fill out the form below to register to vote for the Canadian Music Industry Awards.

Please Note: Voting is not open to the general public. You must be an active member of the music industry to be eligible to vote. Once your registration has been verified, we will email your username and password to the email address specified below.

All fields marked with an astericks * are required.
Company Name: *
Title:
First Name: *
Last Name: *
Company Address: *
Type of business:
Suite:
City: *
Province: *
Country: *
Postal Code: *
Phone: *
Mobile:
Fax:
Website:
Provide your email and create a password below.This is required to log in.
Email: *
Password: *