Heart of Dixie Music Store Sales Application
Your information will not be sold or given away to a third party.

Your Name:     Your Band or Group Name:

Contact Email (please make sure email is correct):

Name of CD or tape you would like to sell:

What format is your music offered in?  CD: Tape:

Please Give A Brief Description of the CD or Tape:

Do you have sample cuts already made that you would like us to use?  Yes: No:

Would you like us to make your sample cuts? Yes: No:

If you would like us to make the sample cuts can you provide us with a CD or Tape  Yes: No:  

Please tell us which three (3) songs you would like to use for sample cuts with your listing:

Cut 1: Cut 2: Cut 3:

Please list all the tracks on your CD or Tape as you would like them to appear in your store listing (One track per line please):

Thank you for privilege of promoting your music on SHMA. We will contact you via email (using the address above) to arrange a way for you to send us cover art for your CD or tape.

Please click the "submit" button only once. Your application will be sent to us, and you will be redirected to our online payment provider PayPal so that you may purchase your listing within the Heart of Dixie Music Store.

THANK YOU!