Complete all required information fields (indicated with an asterisk *) and click SUBMIT at the bottom of the form to have listing information removed from the Unsung Heroes Network.
APPLICANT INFORMATION
First name
*
Last name
*
Street address
*
Address/Apt#/Suite
Town/City
*
State/Province/Region
*
Country
*
Select
ALBANIA
ALGERIA
ANDORRA
ANGOLA
ANGUILLA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
AZORES
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOTSWANA
BRAZIL
BRUNEI
BULGARIA
BURKINA (UPP. VOLTA)
BURUNDI
CAMBODIA (KAMPUCHEA)
CAMEROON
CANADA
CANARY ISLANDS
CAPE VERE ISLANDS
CAYMAN ISLAND
CENTRAL AFRICAN REP
CHAD
CHILE
CHINA
COLOMBIA
CONGO
COSTA RICA
CROATIA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ESTONIA
ETHIOPIA
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
GABON
GEORGIA
GERMANY
GHANA
GREECE
GRENADA
GUADELOUPE
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LESOTHO
LIBERIA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA
MADAGASCAR
MADEIRA ISLANDS
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARTINIQUE
MAURITANIA
MARUITIUS
MEXICO
MONGOLIA
MOROCCO
MOZAMBIQUE
NAURA
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NORTHERN IRELAND
NORWAY
OMAN
PAKISTAN
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
QATAR
KOREA SOUTH
ROMANIA
RUSSIA
RWANDA
SAINT LUCIA
SAUDI ARABIA
SCOTLAND
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAK REPUBLIC
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
S.W. AFRICA (NAMIBIA)
SPAIN
SRI LANKA
ST. KITTS & NEVIS
SUDAN
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAJIKISTAN
TAIWAN
TANZANIA
THAILAND
TOGO
TRINIDAD & TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS IS.
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
URUGUAY
USA
VANUATU
VENEZUELA
VIETNAM
WALES
WESTERN SAMOA
YEMEN
BOSNIA-HERTZAGOVINA
ZAMBIA
ZIMBABWE
Zip/postal code
*
Daytime telephone number
*
E-mail
*
Re-type e-mail
*
IN AN EFFORT TO PROTECT THE RIGHTS OF OUR MEMBERS AND TO ENSURE THAT THIS REQUEST TO HAVE INFORMATION REMOVED FROM OUR WEB SITE HAS BEEN AUTHORIZED BY THE ORIGINAL APPLICANT, THE FOLLOWING SECTION MUST BE COMPLETED
THE PERSON SUBMITTING THIS REQUEST FOR INFORMATION REMOVAL IS
*
The SAME person who submitted the application form requesting to be listed on the Unsung Heroes Network
ANYONE ELSE (explain your authority below)
Don't use quotation marks (") in the text box
If you are ANYONE other than the person who originally submitted the application form, explain your authority to request that the listing is removed from the web site
The original applicant will be contacted and notified of this request to have information removed from the web site!
REMOVE UNSUNG HEROES NETWORK WEB SITE LISTING INFORMATION
INDICATE HOW THE CONTACT LISTING INFORMATION APPEARS ON THE UNSUNG HEROES NETWORK WEB SITE
Membership IDENTIFICATION number (from web site listing panel)
Member identification number
*
MAIN CONTACT INFORMATION
*
Uses my NAME (as indicated in APPLICANT INFORMATION above)
Uses an alternate name (indicated below)
This is the name I selected as my MAIN CONTACT name
ACKNOWLEDGEMENT - By clicking the SUBMIT button, I hereby knowingly authorize Longshot Productions (2007) Ltd., my intended recipient, to remove the contact information, music files or links to my personal URL address from any web site owned, managed and operated by Longshot Productions (2007) Ltd. I HAVE THE AUTHORITY TO REQUEST THAT THE INFORMATION BE REMOVED FROM THE WEB SITE.
CHECK THIS BOX
*
I have read and agree with the acknowledgement
Enter the code as it is shown:
*
THEN SELECT THE SUBMIT BUTTON BELOW