GotchaMusic: Submissions Form

S U B M I S S I O N F O R M

Please complete the form below and send 4 CDs + $35.00 (Check or Money Order), made payable to Gotcha Music.com, to the following address:

GotchaMusic.com

1288 Barbara Avenue

Union, New Jersey 07083 (USA)

If you are unable to complete this form online, please print this FORM and mail it to the above address.

If you prefer to pay by credit card, please select the button below and choose the USA shipping rate of $2.50. After payment, please complete the Informational form below.

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

Please provide payment information including who the checks are to be sent to and mailing address

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 :



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

Song 1 :
Song 2 :
Song 3 :

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

Artist Email Account :
Artist Web Site :


	Additional Comments: