Artist Endorsement Application

Thank you for your interest in Cosmic Ears, if you are looking for an endorsement of our custom in-ear monitors, please fill in this form.

General Information
Band/Artist name:*
Applicant type:*
Contact name:*
Phone number*
Email:*
Website:
Social Media Links
Facebook:*
Twitter:*
Instagram:
Youtube:
Band Information
Year of formation of Band / Artist*
Year
Month
Day
Genre of music:*
Average number of shows/concerts played per month:*
Confirmed upcoming gigs (Dates and Name of venue / event / concert)*
Last four gigs played. (Dates, Name of venue / event / concert).*
Current in-ear products used:
Number of products intending to purchase
CE6B*
CE6P*
CE4P*
CE3P*
Hidden
Please enter one or more products of interest*
Additional Information
Where did you hear about Cosmic Ears*
Please tell us more about you and your band in order for us to get to know you and understand your needs a bit better:*
Please let us know what you want from an endorsement (discount, promotion, expedited service etc ) and how you would promote Cosmic Ears Products:*
References
References in the music business (i.e. promoters, booking agents, management etc)
Do you have artist management or agent? If so, who, and please provide contact details.*
Reference #1
Name*
First Last
Email*
Reference #2
Name
First Last
Email
Reference #3
Name
First Last
Email

General Information