Fill out this form and send it to

Print out this form and send it to:

Attn: Mr. Shane Wilder

C/O Trans-American Broadcasting Corporation (T.A.B.C)

P.O. Box 335687

North Las Vegas, Nevada 89033

USA

Mr. Wilder may be reached after 4 PM (EST) on Friday afternoons at 1-702-395-5624 for your chart action for that week.

____________________ tear here and send form below _________________

From the web site Of Opry North

Please Deliver this kit to the personal office of Shane Wilder

Artists Name: __________________________________

CD Title: ______________________________________

Song we would like promoted: _____________________

Contact Information:

Name: _________________________Phone: ________

Address: __________________ City ________________

Province: _______ Country: _______ Postal: _________

Email: ________________________ Fax: ___________

Contacts Position: ______________________________

Trans-American Broadcasting Corporation