bollywood buzz : special occasion requests and dedications

Have a special someone that is celebrating a special occasion in his or her life?

Why not dedicate a song to them and have their name as well as your name with a special message appear on Bollywood Buzz. Remember, since we can’t play all song requests, dedications are on a first come first play basis, however we will try to get as many names as possible on the show.

NOTE: Please remember that all submissions become the property of Media Insight, Inc., and can be used in any media promotions without requiring further permission. When you submit this form you agree to the above.

Fields in yellow are required for us to process your request. Thank you.

Name
Address
City
State
ZIP
Email
Who is this dedicated to?
And what's the special occasion? Birthday
Anniversary
New Baby
Graduation
Other (please specify)
Date of Occasion
Name of Song
Name of Artist
Name of Film (if applicable)
Your message to them
  I am over 13 years old.
  Please include me in your mailing list. I understand my address will not be sold or transferred to any third party, and will only be used to send information about Media Insight, Inc. and its products and services.
   
    

 

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