This is the release form that will allow us to air your material on New Africa Radio. Please fill it out and return it to us as soon as possible. **Artist Release - Please Read Carefully!** By submitting your CDs, audio tapes or video tapes I _________________________ certify and agree that I am the originator and/or sole owner or agent of the materials being submitted to New Africa Radio and all materials are original. I further understand that New Africa Radio and its staff or agents are NOT required to pay me a fee, or royalties for the display and play time of my CDs, graphics, audio or video performances. New Africa Radio and its agents and staff are NOT responsible for lost, stolen or damaged materials sent in for display and duplication on http://newafricaradio.com Further, New Africa Radio reserves the sole right to remove at any time, performances that we consider inappropriate for are viewers. Question or concerns may be directed to: e-mail address: artsandculture@newafricaradio.com Your Full Name: _________________________________________________________ Your Signature:___________________________________________________________ Title or description of the material being submitted:____________________ ________________________________________________________________________ Mailing Address:__________________________________________________________ City:___________________________________________________________________ State:_________________________ Zip:________________ Country:______________ Phone:_____________________________ E-mail_________________________________________________________________ Please send this completed form along with your original materials and free ad order form to: New Africa Radio P. O. Box 8429 Tacoma, WA 98418-0429