Online Synchronization License Form

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Request a Synchronization License

Please provide the following information in the form below. Items marked with an asterisk * are required fields.

Please allow 1 to 2 weeks for your License request to be processed. The Royalty amount due will be included in the License that is sent to you.

For information or questions, Contact Us.

Song Information

Title of Composition To Be Licensed: *

Writers (if known):

Timing/Duration of Work: *

Use Of Work In Project: *

Project Title: *

Producer: *

Project #:

Configuration (Theatre, DVD, Digital, etc..):

Initial Physical or Digital Units (500 minimum):

Territory: *

Release Date: *

Licensee Information

Contact Name: *

Company Name:

Email Address: *

Street Address: *

City: *

State: *

Zip Code: *

Phone: *

Fax:

Message or Comment:


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