Music Submission Form To contact us please complete this submissions form. Fields marked with an asterisk (*) are mandatory. Music Submission Form Music Submissions Name First Last Band NameRecord Label NameManagement Company / ManagerSongwritersAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email Website PhoneSERVICES REQUIRED EPK / Website Review Demo / CD Music & Press Kit Review Consulting Music Conference Showcase Application PURPOSE OF REVIEW Consulting Distribution Deal National Radio Promotion Music Conference Promotion Licensing TV/Film Placement Record Deal Booking Gigs Advertising Campaign Internet Promotion Contract Preparation Marketing Materials Project Management Marketing Plan Music Critique Compilation CD Manufacturing Producing Distribution Art Design, CD Package Legal Review of CD Packing Other ADDITIONAL SERVICES Performance Coaching Vocal Coaching/Studio Producing YOUR APPROXIMATE BUDGET*THE MINIMUM YOU CAN AFFORD?*AVAILABLE FINANCING OR GRANTYOUR MUSIC STYLE / GENRES*YOUR STORYDO YOU HAVE THE FOLLOWING? Check all that apply. Tour Experience Performance Experience Online Distribution Distribution, Agent, Signed to label? Publicity Radio Airplay Current Marketing HOW DID YOU HEAR ABOUT US? Internet? Search Engine Advertisement Industry Referral Magazine Music Directory Other ADDITIONAL COMMENTSFEES / PAYMENT INFORMATION $75.00 start up music review/ 30 minutes consulting $100.00 MUSIC CONFERENCE SHOWCASE APPLICATION $150.00 1 Hour Full CD Review, Press Kit & Marketing Consultation $350.00. 1 Hour Retainer, Management Consulting PAYMENT METHODS: Direct Email Transfer : info@whiteeaglerecords.ca Paypal Western Union Telephone Credit Card Payment PAYMENT METHOD FORMFor orders above $75.00, CLICK HERE TO DOWNLOAD THE PAYMENT 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.caTOTAL AMOUNTCommentsThis field is for validation purposes and should be left unchanged. Note: All payments are final. No refunds will be issued. White Eagle Music Promotions is a division of White Eagle Records Limited