Artist Membership Program What Is Your Full Name?* First Stage Name Last Please include your Stage Name Example: Jonny JR SmithWhat Is Your Email Address?* What Is The Best Phone Number To Call?*(###) ### - ####Please Provide Your Home Address* STREET ADDRESS ADDRESS LINE 2 CITY AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon PROVINCE POSTALCODE When Is Your Birthday?*MM-DD-YYYYWhat Is The Best Day To Call You?*Select OneMondayTuesdayWednesdayThursdayFridayMonday - Friday (Eastern Standard Time)What Is The Best Time To Call You?*Select OneBetween 9:00 and 11:45 AMBetween 12:00 and 4:45 PMBetween 5:00 and 9:00 PMMonday - Friday 9:00 Am - 8:00 PM (Eastern Standard Time)Let Us Get To Know You*Hip Hop/Rap/TrapPopRock/AlternativeEDM/HouseR&B/Jazz/Neo SoulOpera/AcousticPlease choose a genre of music from the list belowHow Did You Hear About Benjamin Verde?*Canadian AffiliateAmerican AffiliateUK AffiliateArtist MemberSearch Engine (Google, Yahoo, Bing)Industry Professional (Word Of Mouth)Please let us know the name of the company or person that told you about Benjamin Verde. We would love to thank them.What Is The Most Important Thing That You Need Help With?*Recording FacilitiesMarketing and PromotionVideo ProductionBusiness Strategy & DevelopmentArtist FundingI Dont KnowTell us the #1 thing that we can assist you with.What Have You Released Within The Past 60 Days?*Single SongMusic VideoFull AlbumAlbum Release PartyLive PerformanceRadio/Online InterviewPlease choose from the list below; What Is The Name Of Your Most Recent Release/Project?*Please provide a link to your work (Website, Social media, Youtube or Spotify)How Much Revenue Have You Generated?*Under $500Between $500-$5000Between $5000-$10000Over $10000How much have you earned selling your music, merchandise and performing at shows in the past two years?How Long Have You Been In The Entertainment Industry?*Less than 12 monthsBetween 1-5 yearsOver 6 yearsWe help Artists and Entertainers from all genres and experience levels. Do You Need Red Carpet Services?*Producers - $10Managers - $10Video Directors - $10Recording Studios - $10Broker a deal for you - (Reserved for Benjamin Verde Affiliates)NoneBenjamin Verde provides this service to its clients for a fee of $10 per Red Carpet introduction.Online Artist Management*100% FREE Consultation (15 Minutes)I want to subscribe to OAM (Monthly) - $19.00All consultations are conducted via VOIP technology. (*Please see terms and conditions for more details*) Funding Eligibility Policy* I understand that I MUST purchase one "PAID Consultation" per year or be an "Online Artist Management" subscriber for Benjamin Verde funding eligibility. Terms and Conditions* I Accept the Terms and Conditions Artist Membership Program: (AMP) Agreement* I Accept the Artist Membership Program: (AMP) Agreement CAPTCHAEmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.