Licensing

Name Email Phone Number Company

Select License Type Type of Project

Brief Synopsis Overall production budget Description of the scene in which the song will be used Type of use Song use duration (in minutes:seconds) What media rights are you requesting? Territory Where will the project be exhibited? Term of License How long do you need the rights? Notes/anything else we should know?

Brief Description of the program/series Description of the scene in which the song will be used Type of use Song use duration (in minutes:seconds) What media rights are you requesting? Territory Where will the project be exhibited? Term of License How long do you need the rights? Notes/anything else we should know?

Brand

Media TV broadcast VOD/SVOD Online (unpaid streaming, including social media) Online (including paid media) Radio Industrial/Coporate Cinema/Theatrical In-store Hold Music

Description of Campaign & Materials Please include as much detail as possible. For example "1 x :60 second spot, 2 x :30 second spots, with cutdowns" Song use duration (in minutes:seconds) Territory Where will the project be exhibited? Term of License How long do you need the rights? ex: 1 year, 6 weeks, etc Notes/anything else we should know?

Brief synopsis of the production Will any other music be featured in the trailer? Song use duration (in minutes:seconds) What media rights are you requesting? Territory Where will the project be exhibited? Term of License How long do you need the rights? Notes/anything else we should know?

Brief description of the podcast Platforms where the podcast will be available Is the podcast underwritten by any ad revenue? Number of episodes you plan to produce / frequency of episodes' release Song use duration (in minutes:seconds) Nature of how you intend to use the song Notes/anything else we should know?

Brief synopsis of the production Please provide a description of how you want to use the song including whether you will play the original recording or someone will be performing it. Please also include some context/scene description. Song use duration (in minutes:seconds) Name of the venue where the production will be performed, and the seating capacity Number of performances Ticket price for performances Are you licensing any other music for this production? Overall production budget Notes/anything else we should know?

Licensee name and address This is the party who will be entering the agreement Name and address of party who will be paying the invoices for any upfront fees or advances

Orignal Work Title of the original work Performing artist of the original work

New Work Title of the new song Performing artist of the new song Performing artist information (e.g., Spotify Link / Website) Link where we can download the new audio Full description of the use What part of the original work is sampled and timings of where it appears in the new work Are you sampling the original recording, or including an interpolation (re-record) of the original melody? Are there other samples on the new work? If so, please include details

Proposed Release Information Label releasing new work Please include a website Formats in which you plan to release the new work Which rights are you requesting Album title Release Date Sales expectations Notes/anything else we should know?

Type of Project Title of the recording you want to license Performing artist

Title of compilation Requested Formats e.g., physical, album-bundled downloads, etc. Proposed advance Please specify currency Proposed royalty rate Estimated sales per requested format Number of tracks on the album Tentative track list Term of License

Number of units to be manufactured Tentative retail list price Please specify currency Tentative PPD price Please specify currency Territory Where will this project be sold? Tentative Release Date Notes/anything else we should know?

Request details If you are unsure what sort of license you need, or your project does not fit in any of the categories above, please send us as much info as possible and someone from our licensing staff will get in touch to discuss your request.