defective records

m a i l i n g l i s t f o r m

Want to get on the Defective Records mailing list? We frequently send out e-mail (and occasionally snail mail) notices to our mailing list members about new releases, live performances and/or DJ appearances by Defective artists, and sale specials on Defective products not available to anyone else. We're also interested in knowing where our fans are, and which Defective artists are your favorites! Just fill out the form items below, and we'll sign you up. Oh, and we won't give away your information to anyone without your permission.

Full Name:
Business/Organization:
Address:
Address:
City:
State:
Zip Code:
Country:
Phone:
Fax:
E-mail:
WWW link:
Top 3 Defective Artists:
                       1:
                       2:
                       3:

You will NOT get a confirmation notice back once you've submitted your form (no CGI script available to me, sorry!).