Composer or Arranger:
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First Name:
Last Name:
Organization:
Street Address:
City:
State:
Zip Code:
Phone:
Fax:
E-mail:
Composer:
Arranger:
Title:
Type of Use:
Commercial
Film
Television Show
Trailer
Web Page
Other
*Hold the ctrl key and click to select multiple items.
If used for a film
, please provide synopsis, and describe what is happening on screen while our copyrighted music is playing:
Rights requested:
Theatrical
Non-theatrical
Free television
Pay, cable or satellite television
PBS or educational television
Film festival
Home video/DVD
*Hold the ctrl key and click to select multiple items.
Duration of time (number of months and/or years)
-or-
In perpetuity:
Territory:
U.S.
U.S. and Canada
Worldwide
Other
Featured
Background
Duration of used music in minutes or seconds:
Duration of film:
Please provide as much additional information as possible about your project so that we can consider your request:
Questions or comments:
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