Celtica Radio Material Release Form Band Name: Contact Number(s): 1. 2. 3. 4. Members. We hereby give permission to Celtica Radio and its broadcast affiliates to play our music. We understand that we may not demand any royalty payments from the aforementioned subjects. We also understand that if we do become signed by any large label. We are to inform Celtica Radio Ltd. Either party may revoke permission at any time, by written letter. Full details of current affiliates are available upon request. Date: Signed: Celtica Radio (and others where appropriate): Date: Please e-mail this form to… Head of Music bill@celticaradio.com