​​​​​​​​Paul Romaine 

Song Application Form

Copy this blank form as is, and paste it into the body of the following E-mail address: saf@PaulRomaine.com After doing that, be sure to fill in the form completely. Then submit your one MP3 audio recording as an attachment and place it in the Subject line and then click SEND.

Please fill in the following information:

First Name:                     
Middle Initial:   
Last Name:                                                                 

Email address:                                                                                                     
Street address:                                                                                                   

City:                                   
State:                  
Zip Code:                                                      

Print with an x which applies to you:
Singer:     
Songwriter:     
Musician:                                                       
                                                                                   
Print with an x which answer applies: 
Are you currently 11 years old or older?
Yes:    
No:
                         

Print what is the name of your song:                                                                                             

Mark with an x which applies:
Is the song an original composition of yours?

Yes    
No
                                                                                                          
Is the song a cover song of someone else’s recording?
Yes    
No          


By printing your name below you are certifying that the above information you gave is true and accurate.

Print Name:                                                    Date 

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