Live Webcast with Jim Brickman
Wednesday, July 19, 2017, at 6pm and 9pm Eastern Time
Registration is now closed!

3pm PDT/6pm EDT Facebook Live:
https://www.facebook.com/Roland/videos/10156546431593298/

6pm PDT/9pm EDT Facebook Live:
https://www.facebook.com/Roland/videos/10156546458778298/
 
What is your First Name? *

 
What is your Last Name? *

 
Hi {{answer_Xlag}}!

This live webcast is scheduled Wednesday, July 19, 2017, 
with two available time slots. 

Which would you like to register for? *


 
Is there a Jim Brickman song you'd like to hear the story behind?

 
Do you have a question you'd like Jim to answer during the webcast?

 
I am a: *


 
Do you own a Roland piano? *

     
 
What Roland piano model do you have? *

 
Thanks for registering for the July 19, 2017, {{answer_XSAM}} webcast.

The next few questions are optional but will help us process your prize quicker if you do win a piano during the webcast. *

Are you okay with providing your mailing address, phone number, and a guardian's name (REQUIRED if you are under 18)?

 
Are you under 18 years of age? *

     
 
Guardian's Information

This information is optional but needed for us to ship your prize if you do win the contest.
If not provided, we will contact you via e-mail.
 
Guardian's first and last name: *

 
Address *

 
City and State *

i.e. Los Angeles, CA
 
Zipcode *

 
Best Phone Number to contact you?

This information is optional but needed for us to ship your prize if you do win the contest.
 
Mailing Address & Phone Number

This information is optional but needed for us to ship your prize if you do win the contest.
If not provided, we will contact you via e-mail.
 
Address

 
City and State

i.e. Los Angeles, CA
 
Zipcode

 
Best Phone Number to contact you?

This information is optional but needed for us to ship your prize if you do win the contest.
If not provided, we will contact you via e-mail.
 
Would you like to opt-in for more information?

 
Keep me up to date on upcoming Roland events, promotions, contests, and product announcements *

     
 
Keep me up to date on upcoming Jim Brickman events, promotions, and news. *

     
Thank you for registering for the
Summer Songwriting Spotlight Webcast with Jim Brickman
on Wednesday, July 19, 2017, at {{answer_XSAM}} .

We will e-mail you the link to the webcast soon!


Contest Rules & Prizes