Submissions Mail Form

  

Please print and complete the form below and mail it along with 4 CDs and $45.00 (Check or Money Order), made payable to GotchaMusic.com, to the following address:

    
GotchaMusic.com
1288 Barbara Avenue
Union, New Jersey 07083 (USA)
    
  

Your Name: _____________________________________________________________

Email Address: ___________________________________________________________

Where did you hear of GotchaMusic.com: _______________________________________

 

P A Y M E N T   I N F O R M A T I O N

 

Checks Payable to: _____________________________________________

Address: ________________________________________________________________

Address: ________________________________________________________________

City: _______________________________________

State: ______________________________________

Zip: _____________________

Country: ____________________________________

Phone (Day): __________________________________________

Phone (Night): __________________________________________

Fax: ____________________________________________

 

C D   I N F O R M A T I O N

 

Artist Name: __________________________________________

CD Title: _____________________________________________

Selling Price (Basic Price before postage): $___________

Year Released: ___________________

Record Label: ____________________

Copyright: _______________________

CD Description: ___________________________________________________________

________________________________________________________________________

________________________________________________________________________

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List three songs that you want 60 second audio clips displayed on your CD page? 

Song 1: _______________________________________________

Song 2: _______________________________________________

Song 3: _______________________________________________

 

A R T I S T   W E B   I N F O R M A T I O N

 

Artist Email Account: _____________________________________ 

Artist Web Site: _________________________________________

Additional Comments: ________________________________________________________________________

________________________________________________________________________

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