Solicitation Form

Team Membership Request Form

Thank you for interesting about our media company.please fill all information about your qualifications and submit.we will contact you as soon as we can.
Your Name
Full Name

First Name Last Name
Birth Date

Month Day Year
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Gender

Male Female
Marriage Status

Single Married
Current Visa Type

Japanese Language Student Technical College Student Working Visa Tourist Visa Refugee Visa
What do you do?

Can Sing Event Management Audio Engineer Band Promoter Facebook Article Writer Cover Art Designer Digital Media Director Photography Marketing Manager Announcing Camera Men Video promotion Music Engineer Promotion Manager Radio Show Host Recording Editor Songwriter Studio Engineer TV Music Manager
Application you Familiar with?

Adobe Photoshop Adobe After Effect Adobe Premiere Windows OS MAC OS Linux Web Developing Java Xcode PHP Adobe Illustrator Software Engineer
Home Page / Facebook Page
If You have your own www.com
Organization
ASCAP, BMI, SESAC...
Other Qualifications
Upload your items here

Upload a File
pdf, doc, html, zip, mp3, avi, jpg, png etc. Cancel of
List your social sites
i.e. @ulovproducer, www.facebook.com/uloventertainment, www youtube.com/hk3874h
Location
Where you at now?
Latest finished project?
What project are you working on now?
Phone Number

Area Code Phone Number
E-mail *
Your professional background in media. *
Only provide a soft resume relevant to what you've done to be where you're at in senhiru Media Japan.
Should be Empty:

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Team Membership Request Form