Submitter's Name:
*
Electronic Signature:
*
How did the band get started?
*
What other?
State:
*
Title of song being submitted (Submit one song per form):
*
City:
Email:
*
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Daytime/Cell Phone:
*
Can you play live?
*
Yes
No
Names of members in the band and the instruments they play in the band:
*
What is your long range goal? (DREAM BIG, don't hold back!)
*
Address:
*
Message or additional comments:
*
Terms of Use
What style of music do you consider your song submission to be?
*
Zip/Postal Code:
*
Artist or Band Name:
*
To get started, please fill out the form below
(one song submission per form):
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