Record Label Update Form Order Number Label 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. Name (1) * Name (2) Name (3) Direct Phone Direct Phone Direct Phone Title Title Title Email Address * Email Address Email Address Distribution: If label is distributed through one group please list distribution here. Otherwise, please list next to each artist the distribution used. Label Distribution: Artist Roster: Artists listed for inclusion must be nationally touring acts. Acts which do not currently exist in our database will need to show documentation of status (i.e. itinerary showing national dates). If distribution varies per artist, please include distribution on each artist. Artist (1) Artist (2) Artist (3) Artist (4) Artist (5) Distributed Through Distributed Through Distributed Through Distributed Through Distributed Through Management Management Management Management Management Attach additional artist listings. Are you interested in display advertising opportunities? * Yes No Please send advertising information and rate card to: Verified By: * Date: *