Sample License/Quote Request

This form allows you to request a quotation or license, and it is not binding. All rights are strictly subject to contract and are reserved until receipt of fee(s) and full execution of our written license agreement.

Sample License Request

Name

The name of the individual contacting us, not the name of a company that is requesting the license.

First Name

Last Name

Email Address

Phone

(###)

###

####

Original Work

Title of the musical composition you wish to license.

Licensee

Legal name of the person or company who is requesting this license. This can be your name if the license is personal to you.

Licensee Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Derivative Work

Title of new musical composition/master containing the sample.

Link to Audio

Please enter a link (URL) to download or stream the proposed derivative work containing the sample.

http://

Duration of Derivative Work

Please indicate the full duration of the derivative work.

Duration of Sample Use

Please enter sum of all uses within the derivative work. For example, if the sample only appears during the choruses, please indicate the total number of seconds in which the sample appears in the song. If the sample runs throughout the entire song, please indicate the entire length of the song.

Release Date

Anticipated first use date

YYYY

Fee Offer

Please stipulate the fee you have budgeted for this use. We will do our best to accommodate your budget, but the amount we quote will depend on the history of the particular work.

Recoupable?

Do you intend for the fee to be classified as a non-returnable advance of mechanical royalties payable on the derivative work?

MFN

Please indicate if you will offer us the most favorable terms, conditions, and fees with other relevant copyright holders on a prospective basis.

Other Terms

Please list any other terms that are relevant to your request. You may also enter questions or comments for us here.

Royalty Viewer

Welcome, (First Name)!

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