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Mechanical License Request Form

Mechanical License for Audio Projects

Name (required)

Company Name (required)

Address (required)

State (required)

Postal Code (required)

Country (required)

Phone (required)

Fax

Email (required)

Production/Project Name (required)

Artist's Name and Title of the Composition/Song You Wish to License (required)

Method of Distribution (required)

Retail Selling Price of Said Package (required)

Unit Guarantee (required)

Number of Tracks (required)

Track Listing (required)

Advance (required)

Proposed Release Date YYYY-MM-DD (required)

Territory (required)

Comment

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Synchronization License Request

Name (required)

Company Name (required)

Address (required)

City / State / Country (required)

Postal Code (required)

Phone (required)

Email (required)

Production Company /Project Name (required)

Title of Song / Composition Being Requested (required)

Artist's Name (required)

Length of Music Used (required)

Budget for Licensing of this Song (required)

Term of the License (required)

Territory (required)

Use of Song (Be Specific and List All Rights Being Requested) (required)

Context of scene which music will be used

Please leave this field empty.

Mechanical License Request

Name (required)

Company Name (required)

Address (required)

State (required)

Postal Code (required)

Country (required)

Phone (required)

Fax

Email (required)

Production/Project Name (required)

Artist's Name and Title of the Composition/Song You Wish to License (required)

Method of Distribution (required)

Retail Selling Price of Said Package (required)

Unit Guarantee (required)

Number of Tracks (required)

Track Listing (required)

Advance (required)

Proposed Release Date YYYY-MM-DD (required)

Territory (required)

Comment

Please leave this field empty.