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License Request
Licensing request
Licensee Contact Name
*
First Name
Last Name
Licensee Contact Email
*
Licensee Phone
*
(###)
###
####
Licensee Company Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Track Title(s) & Track Number(s)
*
Please list the title and number of each track you would like to license.
Media Type
*
What kind of project will this music be used for?
Film/Theatrical
Trailer
Commercial - TV
Commercial - Radio
Podcast
TV - Streaming
TV - Cable
TV - Broadcast
Internet Streaming
Live Performance
Point-of-sale
Video-for-sale
Museum
Other
Project Title
*
Territory
*
What is the project's reach?
Worldwide
USA only
Other
If you selected "other," please enter your project's territory.
Term
*
How long do you need the music for?
Perpetual
Limited
If you selected "limited," please enter the term length needed.
Nature of Use
*
Background Music
Title Music
Other
If you selected "other," please explain the intended nature of use.
Duration
*
Length of cue (minutes/seconds) to be synched to program.
Options
Additional possible uses for which you would like a quote.
Special Requirements
Anything else you would like us to consider.
Thank you! We will be in touch with your music licensing quote soon.
— Kusiak Music Library