test – Welcome to the Vernon Community Radio Society

Media Submission

Name

Please enter your First and Last Name

Please Enter your Email Address

Address

Apt, suite, etc.

Country

City

State

Zip code

Phone

Optional Phone #

Details

Please provide some details regarding your submission

Submission Genre

Pop, Rock, Classic, Country, etc

Select all that apply

I am the Performer/Announcer

I am the Coyyright Holder

I am Canadian

I am 19 years or older

Year of Birth

Must be 19 years of age or older without adult consent

Submission Title

Submission length (00:00)

Composer if not yourself

Your Stage/Artist Name

List all locations where this submission is published

Youtube, Facebook, TicToc etc.

Media File

Must be either mp3 or zipped mp3 (Max File size 200MB)

No Profanity Acknowledgement

Acknowledged

By checking this box you are acknowleging that this submission contains no Profanity