Name:
 
Company: optional

Address:
 
Address 2: optional

Referred By:

Promotional Code:
 
City:
 
State:                           

Country:
 
Zip or Postal Code:
 
Phone Number:
 
Email:

Comments:

Credit Card Information:
 
We accept Visa or Master Card Only.

(We DO NOT accept American Express or Discover)

Name On Card: 
 
Credit Card #: 
 
Card Type:
Visa Mastercard
Expiration Date: 
 

I want a 1 year artist membership
                            for $89.95 (three song postings)

Additional Song Posting (one time fee):
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 @ $10.00 per song

Additional Video Posting (one time fee):
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 @ $50.00 per video

  
Charges will appear on your statement via
Electra Graphix

Automated promotional website that you can customize to your liking, with links
   to your official website, contact information, band bios, and more, with no   
   programming experience necessary.

Three song postings with the ability to change songs at any time to allow for new   
   albums, etc.  You can add additional song postings for a one time fee of $10.00.
One free video slot, and additional video postings are $50 for a one time fee. 
The ability to change your websites look at any time, with new themes being
   added constantly.

Upload CD Quality music for radio stations to review and download for play on
   their stations.

Post messages and upcoming events calendar on your promotional site.
Post your artist blog on your promotional site.

Add photos and promotional material to your site at any time.

Change any information and songs easily at any time.

View statistics on how many stations have played and downloaded your  music.

Sell your CD and other items from your promotional website for free, no
   commission, or fees charged by Radio Submit. Via Pay Pal integration.

No limit on the amount of songs you may submit. Present your complete album, or
   just the songs you want to promote to radio.

We track all URLs and IP addresses to make sure only radio is downloading
   music, which means your music is secure.
If you would like, send us your CD and Radio Submit will upload your music, for
   a $5 fee per son

g.
New features are being added on a continual basis, as we grow.

Multiple Artist Feature:  Several artist can be associated to one account. 
   (This is normally for Labels wanting to submit more than one artist) If you want
   this option please contact us at (866)-432-7965.

New stations are signing up to download music daily in response
to this new method of music distribution.

If you prefer not to use our online payment form below you may phone
512 847-8346 with your Credit Card Information.

If you are sending a CD to us to upload, there is a $5 charge per song
that you want uploaded.  Please include all info you want loaded (excluding lyrics,
and bio).
 
CD's For Upload may be sent to:
                           Radio Submit
                           13501 Ranch Rd 12, Ste103-327
                           Wimberley Texas 78676

Sales tax may apply in some states.

To use the multiple artist feature, call us at (435) 259-5238 or (512) 667-6466

If you would like to pay by using PayPal click here.