License Request Form

Please complete the form below for each song you want to license for your production with PHONO SOUNDS UK.

Song Title *

Performing Artist Name *

Songwriter / Composer Name (if known)

Production Title *

Select Advertising *

Term *State how long you would like to license the song for your production e.g. weeks, months, years, in perpetuity.

Media *Describe the media you plan on distributing your production through, e.g. All Media, TV, online, film festivals - please be as specific as possible.

Media Usage Territory *For the media stated above, which territories would you like to be granted rights? Eg. Worldwide, Europe, United States.

Paid Media*Do you have an online paid-for advertising plan which includes the requested song?

Duration *State the length of the music usage in your production. Include: edits, cutdowns and variations (if applicable).

Type of Use* *

Do you have a proposed fee for the song?* *This fee represents 100% of the publishing copyright.

Fee Currency *

Have you sought clearance for 100% publishing of the song? *YesPlease note that if PHONO SOUNDS does not represent the master copyright, you will need to seek approval from the master owner.

Additional Information

Additional Attachments

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Contact Name *

Contact Email *

Company Name *

Does the Licensing Party match the Company Name stated above? *

Licensing Party Territory *Please state where the Licensing Party is based.