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Please use this form to submit new release information to Mediabase
Phone #:*
Song Information
Exact Artist:*
Exact Song Title:* Version/Mix:
Official Release Date:* Track ISRC:
CD Title (if applicable): CD UPC:
Label Listing:*
Is this an independent label? Yes No
Christmas/Hanukah Music? Yes No
Canadian Content (CanCon)? Yes No
Artist website URL:
Please check one:
Overnight    Regular Mail Email File (MP3 format only!) to: digitaldelivery@mediabase.com
Mediabase Research
Attn: Encoding Dept.
15260 Ventura Blvd. Suite 400
Sherman Oaks, CA 91403

Additional comments about song (Where you expect initial airplay, etc.)

I would like a Play MPE® representative to contact me about servicing my song to radio.
Format(s) you anticipate receiving airplay:
AC Canada Christian Country Hit Latin Rock Urban
AC Canada-Top 40 Christian AC Country Mainstream Regional Rock Urban
Hot AC Canada-Hot AC Christian Hot AC   Rhythmic Hit Spanish Contemp. Active Rhythmic
Smooth AC Canada-Rock Christian Rock   Dance Tropical Alternative R&B
  Canada-Main AC Gospel       AAA
  Canada-Country Southern Gospel