Your Name (required):
Company Name:
Company Address:
Phone Number (required):
Email Address (required):
Name of Production:
Project Type (required): Major Motion PictureTelevisionAdvertisingInternetIndie Film / DocumentaryLive StageVideo GamePodcastConsumer ProductSampleRemixCompilation AlbumOther
Media Rights Requested: TelevisionInternetTheatricalRadioOther
Distributor/Production Company:
Brief Synopsis of Project (required):
Term (duration of license requested):
Territory:
Recording Title (required):
Recording Artist (required):
Description of Use:
Nature of Use:
Duration of Use (minutes/seconds):
Project Budget:
Music Budget:
Any additional information/comments that you'd like to include?
For advertising/branded uses, is there paid promotion on social media/internet platforms? YesNo
a. If yes, what type (pre-roll, paid boosts, etc.)
b. If yes, what territories will have paid promotion?
c. If yes, how long will the paid promotion run?
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