IPR_Vinyl

Intellectual Property Rights (IPR) Form

To be submitted with each NEW order (and reorder due to a master change)

Must be completed by the individual or organization soliciting replication. (NOT a Broker)

Letters of Indemnity are not adequate.

LICENSED content requires proof of licensing for pressing from the IPR owner.

OWNED content indicates the individual/organization completing this form is the IPRowner.

Title of Project*

Customer Name*

First NameLast Name

Email*

example@example.com

Catalog Number*

HDR job # "HDRxxxx" -OR- Catalog # assigned by client

How will product be distributed?*

Within an organizationRetailFree to PublicOther

Distributed to which countries?*

Are you the IPR owner for the entire recorded contents? Complete the section(s) below describing the content that is applicable to the media you have ordered.

Do you own the Intellectual Property Rights (IPR) for the contents of the ENTIRE recording or project?*

YESNO

Artists

Is this a COMPILATION?*

YESNO

Content/Music Type

An attached list of track title, artist, and IPR owner is REQUIRED. Sampling/mixing of additional recordings not owned (regardless of type, quantity, and length) requires licensing of those original recordings.

*If you are NOT the IPR owner, proof of replication licensing from IPR owner for licensed tracks is REQUIRED.

/ affirm that all information provided herein is true and that all disc contents indicated as being "licensed" are properly licensed for replication under the terms of the original rights holder(s) with proof of such licensing and/or trademark authorization attached. / affirm that / am the intellectual property rights owner for all of contents indicated as being "owned" and approve of replication. / agree to abide by the current version the Anti-Piracy Compliance Program procedures and standards of the International Recording Media Association (available at www.recordingmedia.org The replicator reserves the right to refuse the processing of any order not complying with the Anti-Piracy Compliance Program guidelines.

Name of Company, Organization or Individual Soliciting Order*

Phone Number*

Please enter a valid phone number.

Website

Enter valid website URL

Print Full Name

First NameLast Name

Signature of Representative from Party Soliciting Order

Date

International Recording Media Association www.recordingmedia.org

Vinyl Record Manufacturers Association www.vrmagroup.org