License Request - Medley

The use of a work or parts of a work for a medley must be clarified and approved by the rights holder.

To ask the authors for approval of the medley, please fill out the following questionnaire.

Please fill in all fields as well as possible.

The license for the music recording (master rights) is not the subject of this inquiry, but must be obtained separately from the holder of the master rights (e.g. record company, producer, artist).

Title (original title) *

(Title of the song to be used)

Author of the original work (composer, lyricist)

(Name of the composer, lyricist)

Publisher (original publisher)

Medley title (new title name) *

Length of the used song (in minutes, seconds) *

Description of the medley / Info

List all titles that are used in the medley *

Artist *

Record Company / Label *

Release date *

Area (release area) *

Type of use / release (CD, download, streaming, YouTube...) *

(full declaration)

Please upload song / file

Company *

Name - Contact Person (first name, last name) *

e-Mail - Contact Person *

Phone no. (please include country code; e.g. +49 )

Address

Consent to the Privacy Policy *

I have read the Privacy Policy and agree that my data will be transmitted and processed in the course of this inquiry.

Pet

Favourite Color

Thank you for filling out this form!

License Request - Medley

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