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BIG SOUND Records

Street Rep Application

First Name:
Last Name:
E-Mail:
Address:
City:
State/Province:
Zip Code/Postal Code:
Country:
Phone:
Age:
How you would like to contribute to Big Sound
What 3 clubs in your area would you like to introduce D'Breeon's Music to so that a show can be set up?:

What 3 radio stations in your area would you like to visit / request D'Breeon's Music?

What record store in your area would you like to visit / request D'Breeon's Music?
How often do you
go to shows?
Your five favorite
entertainment web sites:




How long have you
been surfing the Net?
Are you in school or college? yes     no
If yes, what level are you?
Are you involved with any campus organizations/clubs? yes     no
If yes, please list:
Do you have a car? yes     no
When is best to
reach you by phone?
Why would you like to be a rep for BIG SOUND Records?
Please list your job experience.

Thank you!