Music Request

Location *

Street Address *

City, State & Zip *

Phone *

Person Sending Request *

Manager's Name *

Music Requested *

List Artist, Album Title and Songs. If more than 10 songs, please contact us at 847.431.8800.

Are Explicit Lyrics Okay? *

Yes

No

If just artist name is given, do you want to receive a greatest hits (if available) or would you prefer the latest release by this artist?

Greatest Hits

Latest Release

Both

If exact title is unavailable, is an alternative title by artist okay?

Yes

No

If exact title/artist is unavailable, is an alternative version of the song by another artist okay?

Yes

No, Send another song by requested artist

No, Don't send anything

Captcha

Complete the form below to request music for your jukebox or contact us at 847.431.8800.