The Impala European Sales Award promote independents and their artists on the basis of pan-European sales at different points in the success spectrum. Results will be published widely. The awards are:

Pearl	25,000
Sapphire	50,000
Emerald	100,000
Ruby	200,000

*Lifetime achievement award (to be awarded only once)

Please fill out the form below to CERTIFY your recording sales/shipments in order to be included in the Impala Awards list. Once you have submitted your entry, you will be given the option to order a plaque representing the award.

1. Company Profile

Company Name:
Contact Person:
Position of Contact Person:
Full Address:
City:
State:
Postal Code:
Country:
Phone:
Fax:
Cell Phone:
E-mail:
Website:
A2IM Member:

2. Sales certification* (for A2IM members)

I hereby certify (on the basis of independently verifiable data which I agree to make available on request) that the required number of shipments (enter below) has been made in order to qualify for the following award:

Number of Shipments

Pearl	25,000
Sapphire	50,000
Emerald	100,000
Ruby	200,000

In Respect of the Following Recording

Album/Single Title
Artist
Label (releasing this recording)

*Please note a charge may be introduced in the future to certify your sales for this. Certification will remain free for those that buy an award.