Licensee Information:

1. Address Change     Never Licensed

    

2. Name/ Organization:



 

3. Attention:



 

4. Address:



 

5. City:



 

6. State:



 

7. Zip:



 

8. Telephone Number:

 

9. Fax Number:

 

10. E-mail Address:



 

Song Information:

1. Song Title:



 

2. Author(s):



 

3. Publisher:



 

4. Copyright Year:

Project Information:
(Before we can issue a license we must have all the applicable information about your project listed below.)

1. Artist:



 

2. Release Date:



 

3. Project Number:



 

4. Recorded Length of Song:



 

5. Total Number of Copyrighted Songs on Recording Project:



 

6. Title of Project:



 

7. Initial Number of Units Manufactured:

CD:
Cassette:

 

8. Suggested Retail Price:

CD:
Cassette:

 

9. Format:

CD
Cassette
Other   (specify:)

 

10. If Using a translation of our song, specify a language*:




*If you would like to translate a song, please submit all translations and transliterations for approval.

 

License Type: (Please check appropriate requests)

1. Mechanical License:
   COST: $.08 (statutory mechanical royalty rate) per song, per unit manufactured for songs 5 minutes and less. Minimum license fee of $25.
   
2. Master Lease License:
       Two Wings Music Product #
       
       Two Wings Music Product Title
       

Check here to receive approximate licensing fee information from Contract Administration.

Credits: In order to help us to give credit where credit may be due, please tell us how you came to know of us.

CW-PN Radio (ChristWorld-PraiseNation Radio) Internet Search Friend Music Store Other - How Did You Hear About Us? -

If other, please specify.

Thank you.