All form – Galaxy Hip-Hop

Select Package*

Name*

First Name Last Name Stage Name

Email*

Phone*

Instagram Username*

Title Of Your Video*

Video URL*

Genre*

Ownership Declaration

You confirm that you are the legal owner of the video submitted. Furthermore, You hereby authorize and issue a worldwide royalty-free license to www.galaxyhiphop.com, its affiliates, partners, or any subsidiary Benjamin Verde Incorporated irrevocable use of the audio and visual material your video contains. Please see the terms and conditions of our Video Submission Agreement.

Select Service*

You hereby agree to the terms and conditions for the FREE Post service. Galaxy Hip-Hop will review your submission with ten (10) days. If selected, your video will be automatically uploaded and will remain on www.galaxyhiphop.com for three (3) days.

You agree to pay $3.21 (plus applicable taxes) for the Paid Post service. Galaxy Hip-Hop will review and write a short article about your music video. The post will be automatically uploaded within 48 hours of payment and will remain on www.galaxyhiphop.com FOREVER!