Licensing

Contact Information

• Contact Name (required)

  Production Company (required)

  Phone (required)

  Fax

  Email (required)

  Website (required)

Address

• Street Address (required)

  Address Line 2

• City (required)

  State/Province (required)

  Country (required)

Requested Music

• Title (required)

  Artist (required)

Production Details

• Production Title (required)

• Production Type (required)Motion PictureTV SpotTV SeriesMarketing CampaignVideo GameOther

  If ‘Other’ please specify

• Production Synopsis (required)

  Description of Scene/Context (required)

  Producer(s)

  Cast Member(s)

  Length

  Release Date/Air Date (required)

  Anticipated Production Budget (required)

  Proposed Fee (required)

Territory

• Territory to which this license will be applicable (required)

Term

• In Perpetuity? (required)Yes No 

  If ‘No’, how many months?

• Debut Date (required)

  End Date (required)

Usage

•  Theatre Free TV Pay TV Cable TV Satellite TV Airline Film Festival DVD Sales (home use) DVD Rental (home use) Educational Other

• If ‘Other’, please provide details