artist / band
application

musician or band name
e-mail
first name
last name
address
city
state/province
postal code
country
telephone
fax
website location url
photo location url
bio location url
mp3 location url
number of members
number of crew
title of last release
date of last release
musical genre
performing rights society	ASCAP   BMI   SESAC  SOCAN

When you click "Submit Application", your electronic portion has been completed.