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 of the song to be used)

(Name of the composer, lyricist)

(full declaration)

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