Lizard Lounge Radio ~ Material Release Form

ALL ORIGINAL ALL INTERNATIONAL INDEPENDENT MUSIC 24/7

a division of LizardLoungMusic.com

Material Release Form
(Royalty Waiver Agreement)

I/We, (The Name of the Artist/Group/Act and Applicants Name that appears below) hereby grant Lizard Lounge Radio (herein refered to as LLR) a non-exclusive license and permission to use my/our production, name, likeness and performance of my/our original music work (or excerpts there from) for the purpose of producing Radio Webcast programs on LLR.

I/We hereby waive the right to any and all payment or compensation for airplay of my/our original music work on the LLR internet broadcast facility and the LizardLoungeRadio.com website, and grant LLR the right to make limited use of my/our original music work, image and/or voice on the LLR website and in any radio webcast produced by LLR.

I/We understand that by granting this Material Release Form, the waiver shall remain in force until cancelled by either party by giving 60 days notice in writing.

I/We agree to indemnify and grant immunity to LizardLoungeRadio.com from any liability arising from such use of my and/or our original music work.

I, the person whose name appears as follows, certify that I am the authorised person to grant this waiver.

+ Denotes: If you are under 18 years of age your Parent or Guardian must Sign * Denotes a required field.

Name: (Artist/Group/Act)*

Your Full Name:*

Email Address:*

Phone Contact:*

Your MySpace Site:

Your Personal Website:

Style of Music:

+ Parent/Guardian Name:

Date:*

Country*

When you are ready to upload your song files, go to the MP3 File Upload tool.

Because of the high volume of songs being received
Please allow up to one MONTH for your songs to appear in our play list.

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