Please provide as much information as possible to expedite your request.
Instructor:
Course #:
I am requesting (choose one): synchronization rights mechanical licensing rights
Title of composition:
Composers [please include first and last name(s)]:
Date Published:
Publisher of composition:
Performer(s) of composition [please include first and last name(s)]:
Title of LP/CD:
Publisher of LP/CD:
Date of LP/CD Publication:
Length of excerpt to be copied (in minutes and seconds):
Length of original recording:
Time sequence of recording:
Only fill out the following field if you are requesting mechanical licensing rights:
Format to be used (e.g. tapes, CD's):
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