APPLY

JL MUSIC PUBLISHING LICENCE/SYNCH REQUEST FORM

If you would like a quote or some advise on using music, fill in the form below with as much information as possible. We will respond to your enquiry as soon as possible.

NOTE this application form is for a quote only; strong>All quotes are SUBJECT TO CONTRACT/LICENCE, this application does not constitute a licence nor does it authorise any use of the musical works.

DATE:
PROJECT OR PRODUCTION TITLE:
SONG TITLE: (or information about the style/theme, sounds like, genre, lyrics, keywords to help us locate the music you are looking for)
SONG WRITER(S) &/OR ARTIST:
DURATION OF SONG USE:
RIGHTS REQUIRED: (ie: Theatrical, Non-Theatrical, Film Festivals, FTA/Pay television. DVD, Web non-downloadable, digital or other media)
DESCRIPTION OF MUSC USAGE: (ie: background, featured, promo, intro etc) (if for advertising, please indicate product)
TERM OF LICENCE REQUIRED & COMMENCEMENT DATE: (ie: years or in perpetuity)
TERRITORIES: (ie: Australia, World rights etc)
PROPOSED BUDGET: (for Feature Films only)
SCENE DESCRIPTION: Please provide as much detail as possible
PRODUCTION RUN:
TOTAL MUSIC USAGE : ie the total number of songs and the length of the production/film/dvd
PLEASE PROVIDE US WITH A SYNOPSIS OF THE PROJECT:
ANY OTHER QUESTIONS OR COMMENTS:

CONTACT NAME:
COMPANY NAME:
COMPANY ADDRESS:
EMAIL:
ABN:
PHONE NUMBER:
MOBILE:

JL Music Publishing Pty Ltd.
PO Box 10502, Adelaide BC, South Australia 5000
Phone +61 419 852 518 Fax +61 8 8212 8122
Email: helen@jlpublishing.com.au
Web: www.jlpublishing.com.au
ABN: 88 130 813 508