Emerging Artists Form

Please print this out (click on printer icon above) and send to:
Tom Danheiser
Premiere Radio Networks
15260 Ventura Blvd. 5th Floor
Sherman Oaks, CA 91403


Band or Artist:

Contact Name:

Business & Cell Phone #s:

Mailing Address & Email:






Please include Band/Artist Info & Website:












As a member of the band (band/artist name here_____________________), I (band/artist member name here____________________) give Coast to Coast AM and Premiere Radio Networks full permission broadcast my/our music as part of the Coast to Coast AM "Emerging Artist" Series without expectation of compensation in any form.


____________________________Signature


____________________________Print Name

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