Live Performance Licensing Form

Licensing for performance
Name

First NameLast Name
Organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Name of piece to be performed/ Dates of performance
Give a brief description of the concert, including the genre of music in the programming. (this will help Avid Reeder Music submit the correct information for ASCAP)
is there an admission fee for the concert/s?
Is so, what is the range of admissions and maximum seats?
Date

MonthDayYear
Date
Signature

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Poease submit the form and you will be emailed a contract. All information in this form will be submitted by publoisher with ASCAP for performance royalties.
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Licensing for performance