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Assistance Request Form

We ask for a reference from two New Orleans musicians so that we can contact them to verify that you are a New Orleans musician that lost property in the aftermath of hurricane Katrina. We will contact you to get their contact information if we don't already have their contact information in our database. We are New Orleans musicians and with our contacts in the New Orleans music community, we should be able to verify your information without much of a problem.

Name *
E-mail Address *
New Orleans Address: *
Current Address: *
Last Band Played With:
Primary Instrument Played *
When/Where Last Performance:
  Click here if music is your primary source of income?
Musician Reference #1: *
Musician Reference #2: *
Description of Loss/Need: *

* Fields marked with an asterisk are required fields

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This is only an application for support. This doesn’t guarantee assistance. We don’t know how many donations we will get or how long they will last. We can only say that we will do our best to be fair and to help as many New Orleans musicians as we can.