Basic Tier Application Form – Versa Music Group

Today's Date

Full Legal Name

Phone Number

What city and state are you based in?

Instagram @ name

Artist or Producer Name

Please provide a link to your Spotify Artist page

Which best describes you?

Are you independent or signed?

If you’re signed please list the label or publisher you’re signed to (Please put N/A if not applicable)

How did you hear about this opportunity?

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