Music Publishing Update Form Phone Company Name * Address Line 1: * Address Line 2: City: * State: Zipcode: Country: * Business Phone: * Business Fax: Company Email Address: * Website: * Staff Roster: Please list each executive staff person including name, direct phone number and title. Name (1) Name (2) Name (3) Name (4) Name (5) Name (6) Name (7) Name (8) Name (9) Name (10) Phone Phone Phone Phone Phone Phone Phone Phone Phone Phone Title Title Title Title Title Title Title Title Title Title Are you interested in advertising opportunities? * Yes No Please send advertising information and rate card to: Verified By: * Date: *
