| Name Of Artist: | ________________________________________________________ | |
| CD Title (if any): | ________________________________________________________ | |
| When/Where Recorded: | ________________________________________________________ | |
| Release Date (if any): | ________________________________________________________ | |
| Release Method (circle): | At Gigs | Local Shops | Regional | National | Mail Order |
| Distributor (if any): | ________________________________________________________ | |
| Telephone/Fax: | ______________________ | E-mail: | ______________________ |
| Track Title (1): | ______________________ | Writers: | ______________________ |
| Track Title (2): | ______________________ | Writers: | ______________________ |
| Track Title (3): | ______________________ | Writers: | ______________________ |
| Track Title (4): | ______________________ | Writers: | ______________________ |
| Track Title (5): | ______________________ | Writers: | ______________________ |
| If there are more tracks, please write their details clearly on a blank sheet of paper and include it when sending in your completed forms. |
| Description Of Music: | ________________________________________________________ | |
| ________________________________________________________ | ||