Thank you. If the information below is correct, click the "Send" button to send it to Writers Radio.
Name: [Full Name]
eMail: [eMail Address]
Program Number: [Program Number]
Episode Title: [Episode Title]
List of Your Work(s): [Work Title(s)]
Contact Address
Street: [Street Address]
City: [City]
Province or State: [Province or State]
Country: [Country]
Postal Code or ZIP Code: [Postal Code or ZIP]
Agreement: [Agreement]
You have completed the Rights Agreement Form.
Carole, Ingrid and Gary thank you for your participation and support!