To request a mechanical, digital, synchronization, master recording, photocopying or other general music license for this composition, please complete the following form. Be sure to provide as much information as you can about your project and your intended use of the music. Information marked * is required.

License Overview:

Select from the following options the way you intend to use the work.

Title of work

*

Media Use

Film
Television/Cable
Video
Internet
Radio

Period of time you intend to license the material for media use.

Reproduction

First recording
Publication
Educational

Arrangement

Indicate the type of ensemble for which you will arrange the work.

Photocopy

Indicate your reason for photocopying this material.

Other use (Please explain.)

Project Overview:

Provide details about your project.

Project Title

Please indicate the title of your project.

Music Portion

Please indicate the portion of music you intend to use in your project. See the following examples for the appropriate format.

  • For recordings and film: Full use - 6'30"; Movement II - 12'05"
  • For publications: Movement II; mm. 2-14, 21-23

Project Notes

Please provide any other important information that you think will help in evaluating your request, including any fees that will be charged for the use of your project. For TV shows, motion pictures, and video productions, please give a summary of the plot action that occurs during the use. For publications, please indicate the type of publication that will include the material and its intended market.

Contact Information:

Provide your contact information.

First name

*

Last name

*

Position/Title

Organization

Address1

*

Address2

City

*

State

*

Country

*

Zip

*

Phone

*

Email

*