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* 1. Name to be listed (ex. Band Name)?

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* 2. Phone Number?

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* 3. Email?

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* 4. Website / any Social Media?

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* 5. May the artist contact you about your music? *

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* 6. May we contact you about your music and experience? *

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* 7. City or Mississippi region you are located *

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* 8. Song Title *

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* 9. Copy and Paste your song link here *

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* 10. Any additional comments about your music?

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