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RELEASE AGREEMENT:
By providing your information, signing this release, and sending your music to (your company),
you agree to the following:
All music provided may be played royalty free by (your company), any station of or any affiliate station of
(your company), or authorized rebroadcasts.
As the copyright holder, you reserve the right to inform us; in writing mailed to the address above that you
no longer wish to have the music promoted by our company. However, that does not obligate us to
ensure all station affiliates, rebroadcasts or podcasts are no longer promoting your music, nor does
it imply the music is no longer royalty free.
You understand that if you do not supply a bio, this signed agreement, and a hardcopy of your music,
we are in no way obligated to include your information on the (your company), website nor in any
show.
You understand that if you do not specify which song you would like us to showcase on (your company, or
if your song exceeds time limits that we may choose any song from the music you provide.
You understand that we are not responsible to update your bio, image, music file, or other submitted
information. You may however opt for the additional choices below.
You grant permission to (your company), to make one backup copy of all music supplied.
ARTIST/BAND INFORMATION:
Please fill in every line below. PRINT :
I, ___________________________________________ (print legal name), hereby declare the
following information be true to the best of my knowledge, and grant ______________, the right to verify
any information provide herein. I understand that providing false information will result in all music
and information provided being withdrawn from all ______________, stations and station affiliates.
SONG I WISH TO HAVE FEATURED : _(#_____)________________________________________ (print)
Track No. Track Name
SONG I WISH TO HAVE FEATURED : _(#_____)________________________________________ (print)
Track No. Track Name
SONG I WISH TO HAVE FEATURED : _(#_____)________________________________________ (print)
Track No. Track Name
CD TITLE : __________________________________________________ (print)
BAND OR ARTIST NAME: ____________________________________________ (print)
YEAR RELEASED: __________ (print) MUSIC GENRE: ______________________ (print)
RELATIONSHIP OF CONTACT PERSON TO BAND/ARTIST: ____________________ (print)
Songs must be under FIVE minutes in length for standard play on (your company).
BAND CITY/STATE/COUNTRY if different from person submitting: __________________________ (print)
AVAILABLE FOR SALE: ____________________________________________________________(print)
STATUS: (circle one) INDEPENDENT LABEL, NO LABEL, COMMERCIAL LABEL
PERFORMANCE EXPERIENCE: (circle one) NONE, LOW, HIGH
MUSIC LISTED WITH: (circle all that apply)
NOBODY, SOCAN, BMI, RIAA, ASCAP, CMRRA, OTHER _____________ (print)
LEGAL NAME OF MAIN CONTACT PERSON : _____________________________ (print)
PHONE NUMBER OF MAIN CONTACT PERSON: __________________________ (print)
EMAIL ADDRESS OF MAIN CONTACT PERSON: _______________________________________ (print)
MAILING ADDRESS 01: __________________________________ (print)
MAILING ADDRESS 02: __________________________________ (print)
CITY: ___________________________ (print)
STATE/PROV: ________________________ (print)
COUNTRY: __________________________ (print)
POSTAL: ______________ (print)
___________________________________________________________________
URLs of Website
___________________________________________________________________
URLs of Website
___________________________________________________________________
MySpace URL ___
________________________________________________________________
Where did you hear about (your company)
______________________________________________
SIGNED THIS _______________________ DAY OF _________________ 20___
BY THE SIGNATURE OF THE LEGAL CONTACT PERSON BELOW, THIS DOCUMENT IS CONSIDERED A LEGAL
CONTRACT IN ALL COUNTRIES, COUNTIES, STATES AND PROVINCES. I HEREBY WAIVE ANY INVALID
CLAUSE WHICH MAY APPLY TO MY PARTICULAR GEOGRAPHIC LOCATION.
______________________________________ SIGNATURE OF LEGAL CONTACT PERSON
______________________________________ SIGNATURE OF WITNESS OR OTHER BAND MEMBER
Please email ______________, if you have any questions before submitting.
Music submitted to ______________, becomes the property of ______________, and its subsidiaries to use
royalty free at any time unless you specifically request in writing for us to stop playing it.
We will add your email address to our playlist email update and you will be notified the week your
song(s) airs on our show! Please let your fans and friends know that you will be on (your company).
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