Email

Subject

Business / Organisation

Business / Organisation Website

Country

Address

Suburb/City

State

Postcode

Requested Song/s

Number of People in Attendance

For Church/Event license only. Kindly put N/A if this does not apply. How many people will be attending your event/or would normally attend your church services each week?

Which Master Sound Recording are you planning to use?

For Sync/Master Sync License. Kindly put N/A if this does not apply.

Video Link

For all Synchronisation/Master licenses please include a link to your video so that we can see the full use in context. Kindly put N/A if this does not apply.

Use

Please describe in as much detail as possible the way in which you plan to use the song/s

Requested term

How long are you requesting the use of this/these song/s? (ie 1 day, 12 months, perpetuity etc)

Territory

In which country/s do you plan to display your video or distribute your product?

Date

What is the due date for the use of this/these song/s?

Comments

Please include any other comments or information below:

APPLY FOR A LICENsE

City and Vine
PO BOX 1195, CASTLE HILL, NSW, 1765, AUSTRALIA | 4/42 Carrington Road, Castle Hill, NSW, 2154
+61 2 8853 5373 | musicpublishing@cityandvine.com