Fields marked with an asterisks ( * ) are mandatory.

Client Information:
Contact Name
*
Company
City
*
State or Province
*
Country
*
Phone
*
Email
*
DMDS Information:
Song Title
*
Artist
*
Album
Label
*
Songwriter
*
Publisher
*
Contributing Artists
Independent Label
Composer
*
ISRC Code
Copyright Owner
*
Copyright Year
*
Track Length
*
Intro
*
Extro
*
Explicit Lyrics: yes | no
Artist Web Site
Video Link
Delivery Date
*
Preview Delivery Date
Canadian Content:
Music:
Production:
Artist:
Lyrics:
Additional Notes:
Release Agreement:
Read Release Agreement *
I acknowledge that I have read and agree to the Release Agreement.
Terms Agreement:
Read Terms Agreement *
I acknowledge that I have read and agree to the Terms Agreement.

Once you've submitted the order form, and payment,  please send a copy of your CD and Press Kit to the address below.  Please make sure your proper contact information is on everything including your  name , phone number  email and website.

White Eagle Records Limited
225 The East Mall, Suite #1109,
Toronto, Ontario, Canada,
M9B 0A9

Pricing & Payment Information:

Packages: *             USA Package             Canada Package             Both

Number of Pitches  Price Per Pitch  Quantity Price
1 - 25 $5.00 $
25 - 99 $4.50 $
100 - 499 $4.00 $
500 - 749 $3.50 $
750+ $2.95 $
Start up & Processing Fee: $
Tax: $
Total: $

Currency: USA, Canadian

Orders from USA, and International Pay in US Currency
If you are Canadian, add 13% HST, Pay in Canadian Currency

* Payment Methods:

If paying buy money order or Western Union, please make payable to "White Eagle Records Limited" in the appropriate currency. All US and INTERNATIONAL orders must be paid in US Currency.

Cardholder's Name: *
Credit Card Number: *
Expiry Date: *

Note: All payments are final. No refunds will be issued.