| License Request Type |
|
| Name |
|
| Email |
|
| 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? |
|
| |
|
| |
|