HealthyLife.Net
 all positive talk radio

Artist's Permission/Musician Release Form

I, ____________________________________
               (artist's name or copyright owner)

hereby grant permission to Creative Health & Spirit, owner of HealthyLife.Net -The Positive Radio Network, hereinafter referred to as "Broadcaster", to play the following music of mine on the air, strictly on the Broadcaster's network and its affiliates without payment to me or any performing rights organization of any royalties or any other fees for promotional purposes.

Song/Title/CD Name/CD Title

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 (list songs or specify entire CD/Tape/Recording and title. Add additional pages if necessary)

Provided however that this release is solely for the above material; that the above material may only be played on the air, over the Internet and not made available for download by any individual or entity to whom I have not granted express written permission; and that the above material shall not be sold or otherwised licensed for pay by any Broadcaster other than Creative Health & Spirit without my express written permission.

I grant this Permission/Release to include any and all previous broadcasts by the Broadcaster of any of my work going back as early as June 1, 1995.

I hereby represent that I am the sole copyright owner of the above material and am fully empowered and entitled to grant this Permission/Release; and that I am doing so of my own free will without coercion of any kind.

Date: ___________________________________________

Printed Name:_____________________________________

Signature:________________________________________

Witness Printed Name:_______________________________

Witness Signature:__________________________________

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