Please read the following statement then type your name in the box below before submitting this form. "Fill out the form only if you are the sole owner of the music that is being submitted and are giving full permission for the submitted music to be used on an episode of Song Surfing with no expectation of monetary compensation including but not limited to any form of royalties. Only submit this form if a record label cannot claim ownership of the music including the rights to claim any form of royalties including but not limited to sync license royalties. If your song is selected you will be contacted and asked to provide some more information as well as the song file in wav or mp3 format." Type your full name below if you have read, understand, and agree to the terms of the above statement. *
