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Application_for_Copyright_Permission

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									                  APPLICATION FOR COPYRIGHT PERMISSION (MASTER USE)


Please send                     VIA RETURN E-MAIL TO:
completed form                  vivian.andersen@sonymusic.com or businessaffairs.au@sony.com

                                VIA FAX/POST TO:
                                Licensing Department
                                Sony Music Entertainment Australia Pty Ltd
                                PO Box 88, Darlinghurst, NSW 1300
                                Fax: (02) 9331 8169

                                Note: Sony Music only licenses for use or audio-visual productions made in Australia. You
                                must contact Sony Music’s relevant affiliate in respect of licensing applications for use or
                                audio-visual productions made in other territories.



Contact Name                                                       Telephone + Mobile

Business Name                                                      ABN Number

                                                                   Facsimile
Postal Address
                                                                   Email


Artist
Title of Sound
Recording/s or Video
Clip
Album Title and
Catalogue No.
(if known)
                               Theatrical        Non-Theatrical (incl. Film Festivals)       Free-To-Air          Pay-TV

                               Radio          Student Film          Video Game           All Media (Films only)
Media – please select
appropriate box/es
                               Corp Video + No. of copies =                Home Video / DVD + No. of copies =
(double click the box
to do this)                    Website/Internet – specify URL:

                                Other (please specify):

Project Title

Territory

Term of Project
Commencement
Date
Reason for Project

Length of Project
Number of
spots/executions
(for use in
commercials only)
Duration of music
required




Application For Copyright Permission                                                                                Page 1 of 2
Film Name/Title




Scene Description




Synopsis of Project


Online only use:
* is it connected
with a visual?
* does it feature on
the front page?
* is it interactive or
played
automatically?




                                                               Print Name
Please sign here
(if faxing)
                                                               Date



This application is for a preliminary quote only based on the information supplied above, which would still be subject
to the relevant consents and contract. If you agree with our quote and wish to proceed with clearance please allow at
least 3 weeks for processing and note that your request may be denied.

Please also be aware that our quote is for the master recording and/or video clip only. You will also need to obtain
approval for the underlying musical work from the relevant music publisher/s.




Application For Copyright Permission                                                                          Page 2 of 2

								
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