Master License Request

 

 

Please fill out the form below and click 'Submit'

 

Licensee Information

  Name of Project*

 

 

 

Production Company/Network name

 

 

 

 

Contact Name*

 

 

 

 

Street Address*

 

 

 

 

City*

 

 

 

 

State*

 

 

 

 

Zip Code*

 

 

 

 

Country*

 

 

 

 

Email Address*

 

 

 

 

Phone Number * (555-555-5555)

 

 

 

 

Fax Number

 

 

Track Information

 

Song Title* 

 

 

 

 

Artist(s)*

 

 

 

 

Composer(s) 

 

 

 

 

Publisher(s) 

 

 

 

 

Source Album

 

 

Terms of Request

 

Advance*

(indicate unit of currency) 

 

 

 

 

Length of Term(years, months, days) 

 

 

 

 

Release Date 

 

 

 

Territory please be specific 

 

 

 

 

Projected Sales(in units) 

 

 

Master Record Use Information

 

 

 

 

Title of your

Album/Compilation

 

 

 

 

 

Rights Requested

(check all that apply)

 

Exclusive

 

Non-Exclusive

 

Physical CD/Vinyl

Mobile Ringtone

Digital Download

Streaming

 

 

 

Royalty Rate (per-unit)*

indicate unit of currency 

 

 

 

 

Royalty Rate (based on)

 

# of Tracks on Album/Compilation

 

 

 

submit

 

 

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