Music Representation -

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- Bryce J Rogers
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Music Representation

Musician Submission Form

First Name

Last Name

Email

Phone

Artist/Band Stage Name

Music Genre

Pop

Rock

Metal

Rap

County

Alt Rock

Jazz

EDM

Blues

Folk

Gospel

Punk

Other

If Other Please Describe

Social Media

Please list your Social Media usernames, if none state that.

Give us two to three links to your music

Facebook

Instagram

X

TikTok

Consent Decry

I understand that I must be at least 18 to request representation. If not I have provided my parents name and contact info. I understand that I must be at least 18 years of age at the time of submitting this form. If I am not 18 years of age I have added my parents name and contact below. /privacy/ *

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