Band Submission Name: * E-mail: * Phone: Address: City: State: AL AK AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip code: Country: Option 1 Option 2 Option 3 Band Name Genre 1 80's 80's Hair Bands Alternate Rock Alternative Ballad Blues Christian Rock Classic Rock Country Dance Folk Hard Rock Heavy Metal Jazz Latin Pop Punk Rock R&B Rock Soul Southern Rock Top 40 Other Genre 2 80's 80's Hair Bands Alternate Rock Alternative Ballad Blues Christian Rock Classic Rock Country Dance Folk Hard Rock Heavy Metal Jazz Latin Pop Punk Rock R&B Rock Soul Southern Rock Top 40 Other Genre 3 80's 80's Hair Bands Alternate Rock Alternative Ballad Blues Christian Rock Classic Rock Country Dance Folk Hard Rock Heavy Metal Jazz Latin Pop Punk Rock R&B Rock Soul Southern Rock Top 40 Other Other About Your Band Member 1 Instrument Member 2 Instrument Member 3 Instrument Member 4 Instrument Member 5 Instrument Member 6 Instrument Year Band Founded How far are you willing to travel? Past Venues Played Influences I agree I have permission to upload this video and take full responsibility and hold Rockin Raven Productions harmless * I agree If your video is too large to send through this submission form, please contact us to use a hard copy. 720-318-0193 / 720-771-5451 Upload Your Video