Print out and fill in this form. PLEASE USE LEGIBLE BLOCK PRINTING. This will enable us to enter your information correctly. Include it with your audio cassette tape or CD, photograph and payment. (Please note: all materials submitted are NOT RETURNABLE)

First Name: __________________   Middle: __________   Last: _______________________

Professional Name to be used in Registry: __________________________________________

Your E-Mail Address: ___________________________________________

Street Address: ________________________________________________

City: _______________________________   State: _______   Zip: ____________

Day Phone: (     ) ______________________   Evening: (     ) ______________________

CONTACT INFORMATION:

How would you prefer the Registry's visitors contact you? Please indicate if you want to be contacted directly or through your Agent. Note: Tuneful Productions will not and does not advise you to list personally sensitive contact information. Tuneful Productions will not be held liable for an undesirable browser/client contact. If you want contact through your Agent we need the following information:

Agent or Manager's Name _________________________________________________

Phone (     ) _________________________________

Agent or Manager's E-Mail address ________________________

FOR APPLICANTS UNDER 18 YEARS OF AGE, WE REQUIRE PARENTAL CONSENT FOR YOUR PARTICIPATION. Applicant's age (if under 18): _______

1 am the minor applicant's parent or legal guardian. I hereby give the applicant my permission to participate in Tuneful Productions Registry.

Signature ____________________________   Name _____________________________

Relationship __________________________   Phone (     ) ________________________

Please indicate your listing choice:

____ Karaoke Host   ____ Disc Jockey   ____ Band   ____ Singer   ____ Vocal Impersonator

____ Other (Specify) _______________________________

FOR VOCALISTS: Please indicate your vocal styling _____________________________
(If more than one type, please list all types). Example: Country, Rock, Pop, R & B

PAYMENT:

Please mark the services that you desire:

$______________ 6 Month Registry: $59.00

$______________ 1 Year Registry: $99.00

$______________ For _______ Additional Demo Clips - $15.00 each

Change of photograph, audio or biography information during contract time - $15.00 ea.

All prices quoted are payable in U.S. Currency only.

Please mail your photograph, tape or CD, and payment in full to:

Check or money order only. Credit cards are not accepted. There is a $15.00 charge for returned checks. No refunds are available.

Please call (805) 583-1250 for further information or e-mail at info@tuneful.net