Music Submission Form

1
Artist Name* This field is required.
2
E-mail* This field is required.
example@example.com
Confirm Email
3
Instagram/Facebook* This field is required.Links Only
4
Song Upload (2 Max) (Mp3 Only)* This field is required.
Drag and drop files here
Select files to upload
Browse Files
Cancelof
5
Song Upload (Mp3 Only)THIS IS FOR X FACTOR MEMBERS ONLY
Drag and drop files here
Select files to upload
Browse Files
Cancelof
6
X Factor MembersUpload Screenshot of Invoice
Drag and drop files here
Select files to upload
Browse Files
Cancelof
7
Black Dollar Network Screenshot Upload
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
Cancelof
8
Song Titles* This field is required.Only check promo box if you have added the promo selection from the slide before or if you are a X Factor member. MEMBERS ONLY SELCET YES NEXT TO THE SONG YOU WANT PROMOTED. MAKE SURE TO CLICK PROMO ALSO
Title (feat.)
Promo (1 Song)
X Factor Member ?
Song Title
Row 0, Column 0
Row 0, Column 1
Yes
No
Row 0, Column 2
Song Title
Row 1, Column 0
Row 1, Column 1
Yes
No
Row 1, Column 2
Song Title
Row 2, Column 0
Row 2, Column 1
Yes
No
Row 2, Column 2
Song Title
Song Title
Song Title
Title (feat.)
Row 0, Column 0
Promo (1 Song)
Row 0, Column 1
X Factor Member ?
Yes
No
Row 0, Column 2
Title (feat.)
Row 1, Column 0
Promo (1 Song)
Row 1, Column 1
X Factor Member ?
Yes
No
Row 1, Column 2
Title (feat.)
Row 2, Column 0
Promo (1 Song)
Row 2, Column 1
X Factor Member ?
Yes
No
Row 2, Column 2
1 of 3
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Please verify that you are human* This field is required.
10
Signature* This field is required.
11
Thank you for your submission
12
My Products
prevnext( X )
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
TaxUSD
SubtotalUSD
Total costUSD
2 Week Song Promo
1 song of your choice will be added to our rotation 3 times. (EX. We will add your song file 3 times throughout our entire rotation. Giving your song extra opportunities to be live throughout the day. Plan will last 14 days. Plan will start 1 days after purchase is complete
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1 Month Song Promo
1 song of your choice will be added to our rotation 3 times. (EX. We will add your song file 3 times throughout our entire rotation. Giving your song extra opportunities to be live throughout the day. Plan will last 30 days. Plan will start 1 days after purchase is complete
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Enter Coupon
Total cost
Credit Card
First Name
Last Name
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