Please use this form to submit new release information to Mediabase
Name:*
Company:*
Phone #:*
Email:*
Song Information
Exact Artist:*
Exact Song Title:* Version/Mix:
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 MP3 File to: digitaldelivery@mediabase.com
Mediabase Research
Attn: Encoding Dept.
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Sherman Oaks, CA 91403

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

I would like a Play MPEŽ 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 Gospel   Rhythmic Hit Spanish Contemp. Active Rhythmic
Smooth AC Canada-Rock       Tropical Alternative Urban AC
  Canada-Main AC         AAA
  Canada-Country