Complete the form below and click "submit" to become a participating artist/band and be considered for the position of featured artist/band of www.americaneedsme.com. Please read the details to ensure that you qualify.
Full Name
E-mail Address
Original Music Website Address http:// (ie:myspace.com)
Your Picture's Web Address http:// (ie:photobucket.com)
State
18 years or older? Yes
What is your current fanbase total?
In what media do you appear? TV Radio Video Clips Podcast Print
Which charity would you like to support?
You are entitled to 25% of the net proceeds generated by your Featured Artist Charity Page. Of that 25%, how much would you like to donate to your charity?
Please read the following and check the “I agree” box, denoting that you understand and accept the terms of the agreement.
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