Recognized Agency Form 2017-12-26T01:05:40+00:00
Chris Godber

Recognized Agency Form

If you are a:
full service marketing agency, record label, publishing company, advertising agency, media planning and buying agency, promotion agency, PR marketing agency and want to receive Preferred and VIP status for all: Articles, New Jazz Releases, Artist and Industry Profiles, Interview, Review and all other submissions, then please fill out the form below so that we can put you on the Recognized Agency List.

Once you fill out the form, we will review the information and contact you.  You will receive a user and passcode. This will enable you to access the secure links where you can view and upload submissions directly to JazzMonthly.com. This can result in your submission going live within the same day. Sometimes within a few minutes.

Full Name (required)

Agency Name

Street Address (required)

City (required)

State - Zip (required)

Your Email (required)

Your Phone Number (required)

Agency Type (required)

Additional Information


By checking this box, I certify that the information provided in this application is true and correct. I understand that my personal information will not be submitted to any third parties.

I certify that I have read and understand the above and read JazzMonthly.com Terms Of Use, and I accept these terms and conditions. CLICK BUTTON TO ACCEPT (required)

DO NOT CLICK THE "SEND" BUTTON UNTIL YOU FINISH ALL ENTRIES.