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Artist Name:

Artist Real Name:

Artist City:

Name Of Single Being Submitted For Radio Airplay

Referred By? (Example #EmprahThaGreat )

Email:

Artist Or Management Phone Number

What Cities Are The Artist Able To Perform In? ( Example Houston, Dallas, New York, Los Angeles, Etc.)

What's The Meaning Behind Your Stage Name?

Describe Your Style Of Singing Or Rapping?

What Is Your Reason For Rhyme? (What Inspires You)

What Challenges Do You Currently Face In Your Pursuit Of A Music Career?

When Your In The Recording Studio What Drives You? What Are Your Ambitions?

What Are Your Goals & Dreams In Music? ( & In The Music Business?)

How Do You Prefer People To Reach You Via Social Media? ( i.e. Twitter, Instagram, Facebook, Etc.)

Reverb Nation Profile Link

Artist Or Label Website

Instagram Profile Link

Twitter Profile Link

Spotify Link

Apple Music Link

Pandora Music Link

Deezer Music Link

Soundcloud Music Link

YouTube Video Link

Vevo Video Link

Square Purchase Order#