Pasha Media Group: Musicians Database Form

Musician Database Information Form
If you want to be in the PMG database, please fill out this form. You will be contacted for confirmation and also for demos and press kits. Thank you

Name*

First

Last

Band or Ensemble Name (If any)

Address*

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Email*

Website

Phone Number*

###

####

Mobile Phone Number

###

####

Genre/ Style of Music*

Are you a member of Local 47 Musicians' Union*

Yes

If this is a musical group or ensemble, please
specify each members name and musical
instrument(s)

Fees for your service (if for entire group please
specify fees for each member)*

Additional Comments (Optional)

Image Verification
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Staff

Alfred Surenyan, CEO

Krystal Rains, Production Assistant

Hauk, Sound Engineer

Database of Services

We are currently looking to add to our database of service professionals. If you are a professional who would like to be added to our database please fill out one of the two forms.