Your Name:         Title/Position:   

Company:           E-Mail Address:    

Address:         City:     State/Province:

Zip/Postal Code:     Country:     Phone Number:    Extension:

The additional information below will make it easier to service you. This form will be kept in the strictest confidence.


Who Do You Wish To Reach Or Motivate?

The more information we have about your desired target audience, the easier it will be to create the ideal music programming solution. This secure Free Form will help us better understand your requirements. Alternatively, we will be pleased to discuss your pending project needs. Please do not hesitate to call us Toll Free: 877 834.4343.


Please describe your primary target audience. For example, Retail Consumers, Employees or Charitable Donators?


Program Details

What is your expected Order Quantity?
(Please select more than one drop down if you are not sure and require the respective pricing).


Would you like to feature a Charity?   YesNo
(Please appreciate that some artists prefer programs that feature charity components)

If Yes, would you like our suggestions, which will be based upon your desired target group?   YesNo

If Yes, which charity do you wish to support in your CD program?

Is there a Particular Style of Music that you feel would be most appropriate for your desired audience?   YesNo

If Yes, which of the following genres do you feel are appropriate?
(Please check all that apply)

Adult Contemporary;Chillout/Lounge;Christian & Gospel;Classic Rock;Soft Rock;Retro 80's;Alternative;Current Rock & Roll;Pop;Hip Hop & Dance;Electronica & Techno;Country;New Country;Holiday;R&B;Soul;Jazz Instrumental;Jazz Vocal;Smooth Jazz;World Beat;Reggae/Dub/Drum+Bass;Nouveau Flamenco;New Age;Spa Relaxation;Classical/Opera.

Please advise the Number of Songs and list the Most Appropriate Artists you feel are relevant for your desired audience. If you have Particular Artists' Songs in mind, please list them here, too:

When do you require this music premium?   

Is there a Rush for this Estimate and Recommendation?   YesNo

If yes, when do you require it by?
(Normally, it takes us about a week with concepts and the repertoire suggestions).

Pease Note: That a copy of this form will be sent to the email provided above.


Additional Comments

Do you have any additional comments, questions or concerns that may help us? Please advise:

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