Music Row Mentoring Program Mentor Session Order Form
Name *
Prefix
First *
Last *
Suffix
Email *
Phone Number *	### - ### - ####
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
About Your Mentor Session Please give as much information as possible so that we can expedite setting up your mentor program.
Which Mentor would you like a session with? *	Choose OneSherrill BlackmanMike SebastianSteve BlochLynn GannTim HunzeNatalie HarkerGreg GalloClay MyersSam RamageMike Molinar
Alternate Mentor *	Choose OneMike SebastianSteve BlochLynn GannTim HunzeNatalie HarkerGreg GalloClay MyersSam RamageMike Molinar
Alternate Mentor *	Choose OneSherrill BlackmanMike SebastianSteve BlochLynn GannTim HunzeNatalie HarkerGreg GalloClay MyersSam RamageMike Molinar
Will you be doing your mentor session: In Person Phone Call Via Skype *	Choose OneIn PersonPhone CallSkype
Your Music You can submit up to THREE songs for your mentor to listen and give feedback on. We do NOT accept MP3's by email, so you will need to provide a streaming link to your song so that the mentor can listen. If you dont currently have your songs streaming online, you can utilize websites like http://www.vibestreamer.com/ to do so. Then simply copy and paste your lyrics in the lyric boxes and we will get the information to your mentor.
Song Title 1
Link to Song 1	Copy and paste a link to your song stream.
Copy and Paste Lyric
Song Title 2
Link to Song 2	Copy and paste a link to your song stream.
Copy and Paste Lyric
Song Title 3
Link to Song 3	Copy and paste a link to your song stream.
Copy and Paste Lyric
Billing Information Your credit card will be charged $100 for the mentor session.
Credit Card *	Choose OneVISAMCDISCOVERAMERICAN EXPRESS
Card Number *
Security Code *
Exp. Date *	MM/YY
Billing Address (If different from above)
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country