request

							                       Mailing Address: 2180 Bryant Street Suite 105 San Francisco, CA 94110




                                    The Bay Bridged Play Request


To get your music played by The Bay Bridged, please fill out this form and attach it to any CDs, CD-Rs, Records
and Press Kits you send to the mailing address above. By your submission, you authorize The Bay Bridged to
include up to three songs on episodes of The Bay Bridged Podcast and/or to post up to two songs on
TheBayBridged.com music blog unless you specify otherwise below.

We also accept Electronic Press Kits sent to thebaybridged@gmail.com, but physical submissions are given
priority and are strongly preferred. Please do not send us stickers, buttons, glossy photos, or anything similar.

If you have any questions, please feel free to E-mail thebaybridged@gmail.com. Thanks!

      Band’s Name: ________________________________________________________

      The Band is From (City, State): ___________________________________________

      Contact Person’s Name: ________________________________________________

      Address: ____________________________________________________________

      Phone Number: ______________________________________________________

      E-mail: _____________________________________________________________

      Web Site(s): _________________________________________________________

      Suggested Songs for Podcast: __________________________________________

      Permitted Songs for Music Blog: _________________________________________

      Upcoming Shows: ____________________________________________________

Anything else you’d like us to know:

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Legal Statement:
(You or a label representative MUST sign in order for us to be able to play your music. Failure to include a
completed play request form with any physical or electronic submission will be understood as implied agreement
to these terms)

_________________ has/have full rights to this music and grants The Bay Bridged permission to
distribute selected songs by the artist ___________________ as part of a Bay Bridged Podcast
episode or on TheBayBridged.com blog, for promotional purposes. I indemnify and hold harmless The
Bay Bridged from any additional claim of interest related to this music for this expressed purpose.

Signed,

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For Office Use Only:
☐ Press Kit                            ☐   Y: ____________                         ☐   Monthly Mix: _______
☐ CD(s): _____                         ☐   M: ____________                         ☐   Feature: ________
☐ EPK                                  ☐   N: ____________                         ☐   LTM: ________
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