Distribution Company Update Form Twitter Company Name * Address Line 1: * Address Line 2: City: * State: – Select Province/State – Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zipcode: Country: * Business Phone: * Business Fax: Company Email Address: * Website: * Staff Roster: Please list each executive staff person including name, direct phone number, title and email address. Staff (1) * Staff (2) Staff (3) Staff (4) Staff (5) Staff (6) Staff (7) Staff (8) Staff (9) Staff (10) Phone Phone Phone Phone Phone Phone Phone Phone Phone Phone Title Title Title Title Title Title Title Title Title Title Email * Email Email Email Email Email Email Email Email Email Labels: Please list each label distributed by your company here. If a label is distributed through another record label, please show the hierarchy involved. Attach list of distributed labels. Are you interested in advertising opportunities? * Yes No Please send advertising information and rate card to: Verified By: * Date: *