Name (required):

Email address (required):

Mailing address (required):

Telephone (required):

Fax:

Age:

Birthday:

If you are currently in school, what level?
Junior High
High School
College
Other

School name:

How did you hear about sounding rick?

If you work for a radio station, which one?

If you work for a newspaper/ magazine/ indie paper, which one?

Do you have your own transportation?
Yes
No

Please check any task below you'd like to do in your town/city required):

hand out flyers

put up posters and/or flyers

hand out promo CD's to local clubs, concert events, record stores, etc

run the band merchandise table at local shows

organize local radio call-in campaigns for the band

organize campaigns to bring the band to perform on campus at your school?

I am interested in becoming a Street Team Leader in my town (if you check this option, we will be in contact with more details)

Additional Comments: