Lyric Reprint or Music Notation Excerpt

This form allows you to request a quotation or license, and it is not binding. All rights are strictly subject to contract and are reserved until receipt of fee(s) and full execution of our written license agreement.

Lyric or Music Notation Excerpt Reprint License Request

Name

The name of the individual contacting us, not the name of a company that is requesting the license.

First Name

Last Name

Email Address

Phone

(###)

###

####

Work Title

Title of the musical composition you wish to license.

Composer / Songwriter

Please enter the name of at least one of the work's writers, if you know it.

Licensee

Legal name of the person or company who is requesting this license. This can be your name if the license is personal to you.

Licensee Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Project Title

Book title, article title, film title, episode title, commercial advertisement title

Length of Use

Please enter size of the use in terms of the number of words or bars of music.

Type of Use

Term

Requested duration of license, e.g. 5 years or Life of Copyright.

Territory

Media

Physical or digital

Number of Copies

Total of initial print run, circulation, annual website views, or estimate of e-books to be sold.

Release Date

Anticipated first use date

YYYY

Fee Offer

Please stipulate the fee you have budgeted for this use. We will do our best to accommodate your budget, but the amount we quote will depend on the history of the particular work.

MFN

Please indicate if you will offer us the most favorable terms, conditions, and fees with other relevant copyright holders on a prospective basis.

Paid Media?

For commercials and promos (including trailers): will there be a paid media buy, including but not limited to internet pre-roll?

Other Terms

Please describe the use (story, context, scene, product) and any other terms that are relevant to your request (such as product exclusivity for advertising).

Royalty Viewer

Welcome, (First Name)!

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