License > License Request Form
Synchronization License for Television Request

Additional Forms:
Mechanical License
Digital Download License
Synchronization License for Commercials
Synchronization License for Film
Synchronization License for Film Festivals
Synchronization License for Games
Synchronization License for In-House Use
Synchronization License for Merchandising
Synchronization License for Stage Play
Synchronization License for Television
Synchronization License for Video
Synchronization License for Websites

Agency:
 

Contact Name:
 

Licensee Name:
 

Address:
 

City:
 

State:
    Zip Code:

Country:
 

Daytime Phone:
 

Fax Number:
 

Your Email Address:
 

Production Title:
 

Type of Production:
 

Composition:
 

Writers (not performers):
 

Master recording or re-record (if master, list Artist):
 

Type and Duration:
 

Usage:
  Front Credit     Body     End Credit    

Media (i.e. TV, Video, etc.):
 

Episode Number:
 

First Air Date:
 

Usage Type:
 

Term:
 

Options:
 

Territory (where product will be sold i.e. US, Worldwide):
 

Production Budget:
 

Notable actors, directors:
 

Synopsis:
 

Scene Description:
 

Parody Lyrics:
 

Comments:
 
   
 
     
     
     

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Music Licensing Forms

Use our online forms to request various licenses.

Download PDF versions of license forms if you wish a license via fax or postal mail.

Contact us if you don't see the form you need or would like to request additional information.