Media Licensing

Media Licencing Form

Please complete this form to request a media license.

Name*
FirstLast
Company Name*
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone*
Email*
Project Description*
provide a brief description of how you intend to use the music
Songs*
which songs are you interested in licensing
Will you be duplicating the final product?*
- Yes
- No
If yes how many copies?*
Will the final product be avaliable for sale?*
- Yes
- No
If yes what will be the retail cost?*
Distrobution*
- Regional
- National
- International

Palo, MN - 1:30PM

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Feb
5

Morris, MN - 7PM

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Feb
6

Lino Lakes, MN - 7PM

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Feb
10

PRIVATE

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Feb
18

Chokio, MN - 7PM

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Feb
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Media Licensing

Media Licencing Form

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