CFAV Media Submission Form First Last Name Email Address Street City Postal Code Province Phone # Year of Birth (Must be 19 years of age or older without adult consent) Your Stage/Artist Name Submission Description Submission Genre Select all that apply I am 19 or olderI am CanadianI am the Copyright HolderI am the Artist/Announcer Submission Title Submission length (00:00) Composer/Artist if not yourself List all Locations where this submission is published (Youtube, Facebook, Tictoc, etc) Media File (Must be mp3 and Max File Size 200 MB) No Profanity Acknowledgement (By checking Acknowledged you are acknowledging that this submission contains no Profanity) Acknowledged