Form: Placing Your Music on Selax

Name of artist or group or church:

Name of album:

Names of all artists and their contribution to project:

Your contact information (what you want listed on the Selax web site):

Where recorded:

When recorded:

List of songs:

Email address:

Physical address:

Telephone number:

Fax number:

Which two songs you agree to publish on web-site:

Would you like Selax to sell your project through its web site and/or dealer network? (If you respond “Yes” we will contact you. Or, please contact us by clicking on Contact Us!

By signing this form, I/we agree that Selax may allow any person or organization to download these songs, for free. All other rights of ownership to this song and this album, however, remain our own. Furthermore, by my/our signature(s), we represent that we have the legal authority to allow Selax to post these songs.

Signature of authorized legal owner(s) of songs: