Interview / Performance Consent Form: WAPS-FM Radio Akron, OH

Fill out the form below to become part of our Summit e-group Concert list, and receive emails about upcoming concerts, and chances to win tickets to those shows.


Artist Name:

Artist Representativ Name/Title:

Address:

City: State: Zip:

Phone: -

E-mail:

I hereby agree to appear on radio station WAPS-FM Akron, OH Radio Station (The “station”), in accordance with

Yes    No