Instructions:
Please print, sign, and notarize the attached agreement and then mail to:

Blue Muse Independent Radio
923 Stonehenge Court
Naperville, IL 60563



RELEASE AGREEMENT:

By providing your information, signing this release, and sending your music to Blue Muse Independent Radio, you agree to the following:

All music provided may be played royalty free by Blue Muse Independent Radio, any station of or any affiliate station of Blue Muse Independent Radio, or authorized rebroadcasts.

As the copyright holder, you reserve the right to inform us; in writing mailed to the address above that you no longer wish to have the music promoted by our company. However, that does not obligate us to ensure all station affiliates, rebroadcasts or podcasts are no longer promoting your music, nor does it imply the music is no longer royalty free.

You understand that if you do not supply a bio, this signed agreement, and a hardcopy of your music, we are in no way obligated to include your information on the Blue Muse Independent Radio, website nor in any show.

You understand that if you do not specify which song you would like us to showcase on Blue Muse Independent Radio, or if your song exceeds time limits that we may choose any song from the music you provide.

You understand that we are not responsible to update your bio, image, music file, or other submitted information. You may however opt for the additional choices below.

You grant permission to Blue Muse Independent Radio to make one backup copy of all music supplied.

ARTIST/BAND INFORMATION:

Please fill in every line below. PRINT :

I, _______________________________________ (print legal name), hereby declare the following information be true to the best of my knowledge, and grant ______________, the right to verify any information provide herein. I understand that providing false information will result in all music and information provided being withdrawn from all ______________, stations and station affiliates.

SONG I WISH TO HAVE FEATURED :

(#_____)________________________________________ (print)
Track No. Track Name

SONG I WISH TO HAVE FEATURED :

(#_____)________________________________________ (print)
Track No. Track Name

SONG I WISH TO HAVE FEATURED :

(#_____)________________________________________ (print)
Track No. Track Name

CD TITLE : __________________________________________________ (print)
BAND OR ARTIST NAME: ____________________________________________ (print)
YEAR RELEASED: __________ (print) MUSIC GENRE: ______________________ (print)
RELATIONSHIP OF CONTACT PERSON TO BAND/ARTIST: ____________________ (print)

Songs must be under FIVE minutes in length for standard play on Blue Muse Independent Radio.

BAND CITY/STATE/COUNTRY if different from person submitting: __________________________ (print)
AVAILABLE FOR SALE:
____________________________________________________________(print)
STATUS: (circle one) INDEPENDENT LABEL, NO LABEL, COMMERCIAL LABEL

PERFORMANCE EXPERIENCE: (circle one) NONE, LOW, HIGH

MUSIC LISTED WITH: (circle all that apply)
NOBODY, SOCAN, BMI, RIAA, ASCAP, CMRRA, OTHER _____________ (print)

LEGAL NAME OF MAIN CONTACT PERSON : _____________________________ (print)

PHONE NUMBER OF MAIN CONTACT PERSON: __________________________ (print)

EMAIL ADDRESS OF MAIN CONTACT PERSON: _______________________________________ (print)

MAILING ADDRESS 01: __________________________________ (print)
MAILING ADDRESS 02: __________________________________ (print)
CITY: ___________________________ (print)
STATE/PROV: ________________________ (print)
COUNTRY: __________________________ (print)
POSTAL: ______________ (print)

_______________________________________________________________
URLs of Website

________________________________________________________________
URLs of Website

________________________________________________________________
MySpace URL

________________________________________________________________
Where did you hear about Blue Muse Independent Radio ?

SIGNED THIS _______________________ DAY OF _________________ 20___

BY THE SIGNATURE OF THE LEGAL CONTACT PERSON BELOW, THIS DOCUMENT IS CONSIDERED A LEGAL CONTRACT IN ALL COUNTRIES, COUNTIES, STATES AND PROVINCES. I HEREBY WAIVE ANY INVALID CLAUSE WHICH MAY APPLY TO MY PARTICULAR GEOGRAPHIC LOCATION.

______________________________________ SIGNATURE OF LEGAL CONTACT PERSON

______________________________________ SIGNATURE OF WITNESS OR OTHER BAND MEMBER

Please email del@bluemusepublishing.com, if you have any questions before submitting. Music submitted to Blue Muse Independent Radio becomes the property of Blue Muse Independent Radio, and its subsidiaries to use royalty free at any time unless you specifically request in writing for us to stop playing it. We will add your email address to our playlist email update and you will be notified the week your song(s) airs on our show! Please let your fans and friends know that you will be on Blue Muse Independent Radio.