Third-party Content Release Form

Print this page and send with all your materials

 

Basic setup if you want more memory and Wristbands E mail us and will get back to you with a price.

You can E mail your Info or Data Click Here Minimum order
Minimum 100 256MB USB's
$99.95 Data setup
$599.00 for 100
= $698.95 + S/H

Order on line Click Here

Or Make Checks & Money Orders payable to: WristRecords.com

10022 N. 30Th Street

Tampa Florida 33612

WristRecords.com.™

Please fill out and submit this form if you would like your material to appear on the WristRecords.com.™.

Send with you data Cd etc... Thank you

What you would like to appear on your Wrist Band:__________________________________________________________________________

First Name:__________________________________________________________

Last Name:___________________________________________________________

Company Name (optional):_______________________________________________

Address:_____________________________________________________________

City:_____________________State:____________________Zip:________________

Email Address:________________________________________________________

Band Name:____________________________________________________________

Album Title:_____________________________________________________________

Data or Song list:

1._______________________________________________________________________

2._______________________________________________________________________

3._______________________________________________________________________

4._______________________________________________________________________

5._______________________________________________________________________

6._______________________________________________________________________

7._______________________________________________________________________

8._______________________________________________________________________

9._______________________________________________________________________

10.______________________________________________________________________

11.______________________________________________________________________

12.______________________________________________________________________

13.______________________________________________________________________

14.______________________________________________________________________

15.______________________________________________________________________

If more put on back.

Display My Full Name
Display Company Name
Other: ___________________________________________

I certify that I am the author or sole owner of the material I am submitting to WristRecords.com.™ WristRecords.com™ and its licensees may reproduce, distribute, publish, display, edit, modify, create derivative works and otherwise use the material for any purpose in any form and on any media. I agree to indemnify WristRecords.com.™ for all damages and expenses that may be incurred in connection with the material.

Sign Here Name:________________________ Date:___________

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