Sample Request Form First Name: Last Name: Email: Company: Phone: Street: City: State/Province: Zip: Original Song Title: Original Artist: Original Songwriter(s): New Song Title: New Song Artist Name: Have you used the Master Recording?–None–Yes No Details of Sample Usage: Record Label of New Song Release: Link(s) to Recording Demo(s): Links to Additional Files: Additional Notes: Artist Info About Yourself: How the song will be distributed? How the song will be marketed?
