The $9,000.00 Music Video

THE $9,000.00 MUSIC VIDEO APPLICATION

*Part I

Title Track:

Lenght:

Artist Name:

Main: Area Code & Phone Number:

Cell: Area Code & Phone Number:

Business Address:

Street

City

State

Zip

Billing Address:

Street

City

State

Zip

Email Address:

Web Address:

Part II

IF APPLICABLE:

Record Company_____________________________________________

Area Code & Phone Number: (_____)______--_________________

A&R: _________________________________________________

Management Company: ___________________________________

Area Code & Phone Number: (_____)______--__________________

Manager: _______________________________________________

Area Code &Phone Number: (_____)______--___________________

Part III

What is your intended shoot date?___________________________

Are there additional Featured Artist?_______ Yes ________ No

How many?__________ Who?____________________________________

*Part IV

Credit Card:

Credit Card #

Ex Dt.

Pay Pal #

Our Products

If you have any questions please feel free to contact Sydney Austin in the main office.

Additional Cost

we do not control or price. As a company we can only respect and collect.

$900.00 taxes

$350.00 per permit

$1,000.00 locations

$500.00 Insurance

$250.00 PayPal

______________________

$3,000.00 fees & taxes

Big Score Media Corp. Holdings