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I would like to request a fee quote for the following:
Contact Information
Salutation
Mr.
Mrs.
Ms.
Miss
Dr.
*
First Name
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Surname
*
Company Name
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Street Address
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Town / City
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Province / State
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Postal Code
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Country
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Country Code
Telephone Number
Best Time to Contact
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:
00
15
30
45
GMT
+12
+11
+10
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+1
0
-1
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-12
*
Email Address
Re-Type Email Address
Song & Use Information
Song Title(s)
(List of songs requested)
Usage
(Type of usage and
brief description of the
context in which
the song(s) will be used)
yes no
Visual Vocal
Visual Instrumental
Background Vocal
Background Instrument
Featured Background
Musical Subject Matter
Main Title
End Title
yes no
Theme
Bridge Music
CD Cover Version
CDG Karaoke
DVD Karaoke
Ringtones
Other
Description of Use
Scope Of Use
(Rights needed)
yes no
TV (National)
TV (Local)
TV (Pay/Subscription)
TV (Basic Cable)
TV (Syndicated)
TV (Satellite)
Motion Pictures
Radio
Internet
yes no
Non-theatrical
CD Cover Album
CDG Karaoke Album
DVD Karaoke Album
Download - Karaoke Video
Download - Karaoke Audio Only
Home Video Devices
Other
Duration
(Anticipated length of time in
minutes and seconds that the
segment will be used)
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
:
00
01
02
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4
45
46
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50
51
52
53
5
55
56
57
58
59
Term
(Number of years or
“in perpetuity”)
Territory
(Regional, US, World)
Regional
US
World
First approximate broadcast/use date
January
February
March
April
May
June
July
August
September
October
Novemeber
December
/
01
02
03
04
05
06
07
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11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
2008
2009
2010
2011
2012
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Licensing Arrangement
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