First Name *

Last Name *

Email *

Phone Number *

Company/Artist Name *

Website

How would you describe yourself? *

Please provide a short list of three (3) or less song titles below with their respective Artist names, Writer names, and your assumed ownership percentage *

Spotify/Apple Music/TIDAL/SoundCloud Page (if applicable)

Link to your YouTube Artist channel (if applicable)

Link to your social media accounts (if applicable)

Are you a PRO affiliate? (i.e. BMI or ASCAP) *

Are you currently signed to a publishing, record label, or any other agreement for your music? (If yes, please specify.) *

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