PCG LLC Social Media/Music Release Form
Promotions
Name
First Name
Last Name
Profession or Artist Name
Month of Service To Begin
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Month
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Day
Year
Date
Phone Number
*
Email
*
example@example.com
Website
example@example.com
Instagram
example@example
Twitter
example@example
Other
example@example
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Authorization, Release, and Consent
Can we use your name?
Complete name
First name
Nickname
Other
Agreement:
I authorize and grant PCG LLC to take or use my photos regarding my experiences with them.
I grant PCG LLC to use my photos, music, likeness, comments and interviews on Facebook, Twitter, Instagram, and other social media platform.
I allow PCG LLC to edit, alter, copy, or distribute the photos for social media advertising and marketing.
I agree that the podcast interviews and articles belong to PCG LLC.
Dear valued customer, we are thrilled to introduce our new promotion service for your legally owned music! For just $5 a month per song submission, DJ Retro will showcase your tracks in DJ mixes, social media posts, and live events, providing an exciting platform to amplify your music to a wider audience. This fixed and affordable price ensures that each of your submissions receives the attention it deserves across multiple platforms. Elevate your music presence and reach new heights with DJ Retro's exclusive promotion package. Don't miss out on this incredible opportunity to shine in the spotlight! I understand that I will not receive any monetary compensation from PCG LLC promotions, and release PCG LLC from liability from lawsuits concerning royalties, compensation, fees. or dues that come from promotional material provided. When form is submitted without a digital signature, this will still be a binding agreement between the party listed and PCG LLC. Submit payments via the provided link, if payment fails, late, ignored and not made whole within 3 days of notice being made services will cease immediately.
Date Signed
*
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Month
-
Day
Year
Date
Signature (use mouse or touch screen to sign, hold left click and move mouse to sign. No signature will also be considered as an acknowledgment of consent.)
Submit
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