ASCAP/BMI LICENSE & INSURANCE
FOR COUNTRY-WESTERN, DANCE INSTRUCTORS
THROUGH AMERICAN CALLERS ASSOCIATION
ASCAP & BMI REGISTRATION FIXED RATES
APRIL 1, 2009- MARCH 31, 2010
Dance instructor to be licensed. This application will be returned if a dance club or business name is listed.
City: ___________________________________________________State: _______________Zip __________
Phone: (H)___________________________ (W)_____________________Yrs Instructing:___________
Fees listed below include BMI/ASCAP fees, Membership, & Group Liability Insurance
Schedule A: (Covers music for classes, dances & local exhibitions)
Average No. of different Students or Participants (Weekly)
Instructional Use and Dances
_____ Under 60 $294
_____ 60 - 124 $412
_____ 125-249 $529
_____ 250-374 $648
_____ 375 & Over $801
(License language for schedule B: is required by BMI)
Schedule B: (Covers background music, dances, workshops, & local competitions)
_____ Under 60 $362
_____ 60 -124 $551
_____ 125 -249 $738
_____ 250-374 $926
_____ 375 & over $1176
I understand that this coverage is for individual dance instructors only and that it does not cover business establishments.
Signature_____________________________________________________ Date _____________________________________
Most instructors will fall into the Instructional Use Only Category. Where background music is used for dancing
or listening, use Background & Instructional.
Group Liability coverage is $2M with coverage anytime you are performing or teaching dancing.
For faster service, please include a self-addressed stamped business-sized envelope and allow 30 days for actual
return of license.
This coverage is a PACKAGE DEAL and cannot be purchased in part. It includes all licensing, Membership, and
Fees listed hereon are established by the respective ASCAP/BMI Boards. They are NOT PRO-RATED and NON-
REFUNDABLE and remain the same for all, or any part of, the annual year.
Make check payable to AMERICAN CALLERS and mail to Mac Letson, P.O. Box 2406, Muscle Shoals, AL
PHONE: 256-383-7585. FAX: 256-383-7583; E-Mail - Loulet @AOL.Com; Web Page www.americancallers.com