EmailMe Form - One Song Media Promotion

First Name *

Last Name *

Record Label Name *

Artist(s)/Group Name *

Artist(s)/Group Website

Street Address *

City *

State *

Zip Code *

Phone *

Cell Phone

Email Address *

Album Title *

Song Title *

Add Song

Song Duration *

Add Song Duration - (Example: 05:30). Song must be less then 6:00 minutes.

Format/Genre *

Writer(s)/Composer(s)

Description/Requirements

Do You Need A UPC Bar Code Number *

Yes

No

UPC Bar Code Number

Add your UPC Bar Code if you have one.

SKU/Catalog Number

SKU

If you like, you can add a SKU, or stock-keeping unit, for your CD. SKUs can be up to (20 alphanumeric characters.)
SKUs can be used to help keep product identifiers consistent across multiple systems, and may be useful when searching for products and sales reports. If you do not have a catalog number, one will be assigned.

Official Release Date *

MM / DD / YYYY

Copyright Date *

MM / DD / YYYY

I confirm that I have read and agreed to the One Song Media Promotion Agreement that was located on the previous page. *

Yes

I am also submitting my payment of $499.00 via my credit/debit card to be processed through PayPal. *

Yes