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License Request Form
Composers
Services
Our Story
Contact
Contact Us
Submit Music
License Request Form
Music Library Login
Billing Information
Phone
Country
(###)
###
####
Licensee Information (if different from client)
Phone
Country
(###)
###
####
Production Information
For Broadcast Programs
Please check applicable boxes:
Free TV/Basic Cable
Premium Cable
Pay Per View TV
Radio/Sat Radio
Internet
All Broadcast Media
For Commercials/Promos/PSAs:
Use:
Choose usage
Worldwide
National
Regional
Local
Internet
Term:
Choose term
In perpetuity
1-year
13-weeks
Other terms?
How many?:
How many?:
Notes:
For Non-Broadcast Uses
Please check applicable boxes:
In House Use
DVD
CD
Corporate Video
Internet
Videogame
Software
Music Track Used:
Thank you!
