LOGGINS PROMOTION Client Information Form

LP Client Form

First Name

Last Name

Your Email Address

Phone

Cell Phone

Record Label Name

Record Label Website

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Billing address same as mailing address

Yes

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Artist/Band Name

Song Title

Track ISRC

Publishing Name 1

Publishing 1 Affiliation

Publishing Name 2

Publishing 2 Affiliation

Album Title

CD UPC

Artist Website

Facebook Fan Page

Twitter Page

Instagram URL

Spotify URL

SoundCloud URL

YouTube URL

Upload Song File

Upload Image(s)

Bio information

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