BellaOnline Radio - Music from Fantastic Women Musicians

BellaOnline Radio
Music from Fantastic Women Musicians

Release Form

I,

(First Name, Last Name)

(Street Address)

(City)

(State, Zip Code, Country)

(Email Address)
give permission to:

BellaOnline.com

to reproduce (for broadcasting purposes) and broadcast my music via the internet, namely an internet radio and BellaOnline.com website (http://bellaonline.com).

The songs listed below may be reproduced (for broadcasting purposes) and broadcast:

Song Title(s)

Signed: _______________________________________

Printed: ______________________________________
I hold the copyright for the above songs.

I give permission for BellaOnline.com to use any included artwork to promote the above music on BellaOnline.com.
Initials: _______________

Date: __________________

Please send this completed form with any CDs to:

Jeanne Ukwendu
PO BOX 972257
Miami FL 33197-2257 USA

	(First Name, Last Name)
	(Street Address)
	(City)
	(State, Zip Code, Country)
	(Email Address)

BellaOnline Radio Music from Fantastic Women Musicians

Release Form

BellaOnline Radio
Music from Fantastic Women Musicians