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Membership Application
Request Form
If you have performed on a song that has received airplay, fill out the form below and our team will notify you if you are elligible for membership.
*
Name
*
Artist Name
Aliases
*
E-mail
Tel
Top 5 Song titles which have received Airplay
*
Song
Song 2
Song 3
Song 4
Song 5
*
Record Label
*
Year of Release
Country of Release
Country of Airplay
Are you a Featured Performer (band member) or Non Featured Performer (session player):
Featured
Non-Featured
Are you currently a member of any Neighboring Rights Society:
Yes
No
*
Confirm your identity
Submit