License Request Type |
|
Name |
*
|
Email |
*
Email Address is Invalid.
|
Phone number |
*
|
Artist |
*
|
Album Title |
*
|
Song Title |
*
|
Project Title |
*
|
Production Company |
|
Project Description/Synopsis |
*
|
Rights/media requested |
*
|
Territories |
*
|
Term |
*
|
Type of Use |
*
|
Timing of Use |
*
|
Scene Description |
*
|
Director |
|
Cast |
|
Clearance Deadline |
*
*
*
|
Exhibition/start date of program |
*
*
*
|
Music Budget |
*
|
Total Budget |
|
Fee offered/per side |
*
|
If this is a film, do you have distribution? |
|
Is publishing cleared? |
|
Additional Comments? |
|
|
|
|
|