MUSIC SUBMISSIONS FORM

To contact us please complete this submissions form.

Fields marked with an asterisk (*) are mandatory.

* YOUR NAME:
BAND NAME:
LABEL NAME:
MANAGER:
SONGWRITERS:
ADDRESS:
STATE/PROVINCE:
* COUNTRY:
* PHONE:
* E-MAIL:
WEB SITE:

* SERVICE(S) REQUIRED:

* PURPOSE OF REVIEW:

ADDITIONAL SERVICES:
* YOUR APPROXIMATE BUDGET:
* THE MINIMUM YOU CAN AFFORD:
AVAILABLE FINANCING OR GRANT:
YOUR MUSIC STYLE/GENRES:
YOUR STORY:
DO YOU HAVE THE FOLLOWING?
(Check all that apply):
HOW DID YOU HEAR ABOUT US?:
ADDITIONAL COMMENTS:
MUSIC REVIEW, EMAIL SUBMISSION, AND START UP FEES :$75
For submissions from Canada 13% HST is applied.
FEES / PAYMENT INFORMATION:
* PAYMENT METHODS:

For orders above $75.00, CLICK HERE TO DOWNLOAD THE PAMENT METHOD FORM.
For completion of your order either by Credit Card or Paypal, please additionally fill out the form and either fax or scan it and email to: info@whiteeaglerecords.ca

Interac E-Transfer
* CARDHOLDER'S NAME:
* CREDIT CARD NUMBER:
EXPIRY DATE:
TOTAL AMOUNT:

Note: All payments are final. No refunds will be issued.

White Eagle Music Promotions
is a division of White Eagle Records Limited