Artist*
Song Title*
Master Source*
ie. What album is the Sound Recording taken from?
Agency*
Product being advertised*
Type of Media*
TV (Free to Air)TV (Pay)RadioInternet (All)Product Website onlyCinemaDVD (please include number of units)Film Festivals
If DVD or other, please fill in information below
DVD or Other:
Territory*
be as specific as possible i.e. list states and/or countries
Term*
How long do you require the rights for?
Commencement*
What date do you propose the Term to commence?
Extract*
How much of the Sound Recording will be used? (MINUTES:SECONDS format)
Duration*
ie. How long will each spot be? eg. 1 x 60 second, 2 x 30 second
Options
Who are the publisher(s)?*
Is it approved?* —Please choose an option—YesNo
Storyboard or script?*
Enter text or give links to uploaded content.
Your Name*
Company Name*
Phone Number*
Fax Number
Email Address*
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