1. Name: first____________ last____________________

2. Address: street_______________________city/town_________________ Country_____zip/postal__________

3. Telephone ( __ ) ____-______ E-mail__________________ website(if any)___________________

4. Is this your first project?______

5. If yes, who produced it?___________________

6. Where did you record?_____________________

7. Do you write?_____ If yes, how many songs have you written?_______

8. Are you currently working with a band?_____

9. Are you currently working with a booking agent?______ If yes, which one?_____________________

10. If there's a contact number for the agent, please supply. (___) ____-________

11. Are you currently working with a manager?_____ If so, please supply a contact number (___)____-______

12. What is the name of the management?_______________________

13. Do you have financial support for your career?____ If yes, please explain._________________________

Please send to:

Cupit Music
Attn: Artist Submission
P.O.Box 121904
Nashville, TN 37212