Beat Shazam Long Application

  1. Please list school, major and year graduated.
  2. Show Name, Role in Show, Air Date, Name of Production Company/Network/Website etc...
  3. Name of Show(s), Role in Show(s) Tape Date(s), Air Date(s):
  4. Name of Show(s), Description of Your Involvement, Name of Production Company/Network/Website etc.:
  5. I represent and warrant that I am 18 years of age or older (the age of majority in the state which I reside, if higher) and have the right to enter into this Agreement. I have read and understood the Agreement, and I understand that by filling in my name below, I agree to be legally bound to the terms of this Agreement.
  6. Use your mouse or finger to sign above

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