TV & RADIO IDENT / JINGLE Claims
Band / Act / Company Name
*
Contact Name
*
Email
*
Ident / Jingle Title/s
Title 1
*
Title 2
Title 3
Title 4
Title 5
Title 6
Title 7
Title 8
Title 9
Title 10
MORE TITLES ?
No
Yes
Title 11
Title 12
Title 13
Title 14
Title 15
Title 16
Title 17
Title 18
Title 19
Title 20
Broadcast Station Details
STATION NAME / ID 1
*
Station Type
*
TV
Radio
Country
*
Please Select
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Belgium
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Chile
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New Zealand
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Portugal
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Sweden
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UK
USA
These Countries ONLY
Date Of Sale To Station
/
Day
/
Month
Year
Date
Broadcast Start Date
*
/
Day
/
Month
Year
Date
STATION NAME / ID 2
Station Type
TV
Radio
Country
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Australia
Austria
Belgium
Bulgaria
Chile
China
Croatia
Czech Republic
Denmark
Finland
France
Germany
Greece
Hong Kong
Hungary
Ireland
Netherlands
New Zealand
Norway
Poland
Portugal
Romania
Russia
Singapore
Slovakia
South Africa
Spain
Sweden
Switzerland
Turkey
UK
USA
These Countries ONLY
Date Of Sale To Station
/
Day
/
Month
Year
Date
Broadcast Start Date
/
Day
/
Month
Year
Date
STATION NAME / ID 3
Station Type
TV
Radio
Country
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Australia
Austria
Belgium
Bulgaria
Chile
China
Croatia
Czech Republic
Denmark
Finland
France
Germany
Greece
Hong Kong
Hungary
Ireland
Netherlands
New Zealand
Norway
Poland
Portugal
Romania
Russia
Singapore
Slovakia
South Africa
Spain
Sweden
Switzerland
Turkey
UK
USA
These Countries ONLY
Date Of Sale To Station
/
Day
/
Month
Year
Date
Broadcast Start Date
/
Day
/
Month
Year
Date
STATION NAME / ID 4
Station Type
TV
Radio
Country
+ Select Country +
Australia
Austria
Belgium
Bulgaria
Chile
China
Croatia
Czech Republic
Denmark
Finland
France
Germany
Greece
Hong Kong
Hungary
Ireland
Netherlands
New Zealand
Norway
Poland
Portugal
Romania
Russia
Singapore
Slovakia
South Africa
Spain
Sweden
Switzerland
Turkey
UK
USA
These Countries ONLY
Date Of Sale To Station
/
Day
/
Month
Year
Date
Broadcast Start Date
/
Day
/
Month
Year
Date
STATION NAME / ID 5
Station Type
TV
Radio
Country
+ Select Country +
Australia
Austria
Belgium
Bulgaria
Chile
China
Croatia
Czech Republic
Denmark
Finland
France
Germany
Greece
Hong Kong
Hungary
Ireland
Netherlands
New Zealand
Norway
Poland
Portugal
Romania
Russia
Singapore
Slovakia
South Africa
Spain
Sweden
Switzerland
Turkey
UK
USA
These Countries ONLY
Date Of Sale To Station
/
Day
/
Month
Year
Date
Broadcast Start Date
/
Day
/
Month
Year
Date
MORE STATIONS ?
No
Yes
STATION NAME / ID 6
Station Type
TV
Radio
Country
+ Select Country +
Australia
Austria
Belgium
Bulgaria
Chile
China
Croatia
Czech Republic
Denmark
Finland
France
Germany
Greece
Hong Kong
Hungary
Ireland
Netherlands
New Zealand
Norway
Poland
Portugal
Romania
Russia
Singapore
Slovakia
South Africa
Spain
Sweden
Switzerland
Turkey
UK
USA
These Countries ONLY
Date Of Sale To Station
/
Day
/
Month
Year
Date
Broadcast Start Date
/
Day
/
Month
Year
Date
STATION NAME / ID 7
Station Type
TV
Radio
Country
+ Select Country +
Australia
Austria
Belgium
Bulgaria
Chile
China
Croatia
Czech Republic
Denmark
Finland
France
Germany
Greece
Hong Kong
Hungary
Ireland
Netherlands
New Zealand
Norway
Poland
Portugal
Romania
Russia
Singapore
Slovakia
South Africa
Spain
Sweden
Switzerland
Turkey
UK
USA
These Countries ONLY
Date Of Sale To Station
/
Day
/
Month
Year
Date
Broadcast Start Date
/
Day
/
Month
Year
Date
STATION NAME / ID 8
Station Type
TV
Radio
Country
+ Select Country +
Australia
Austria
Belgium
Bulgaria
Chile
China
Croatia
Czech Republic
Denmark
Finland
France
Germany
Greece
Hong Kong
Hungary
Ireland
Netherlands
New Zealand
Norway
Poland
Portugal
Romania
Russia
Singapore
Slovakia
South Africa
Spain
Sweden
Switzerland
Turkey
UK
USA
These Countries ONLY
Date Of Sale To Station
/
Day
/
Month
Year
Date
Broadcast Start Date
/
Day
/
Month
Year
Date
STATION NAME / ID 9
Station Type
TV
Radio
Country
+ Select Country +
Australia
Austria
Belgium
Bulgaria
Chile
China
Croatia
Czech Republic
Denmark
Finland
France
Germany
Greece
Hong Kong
Hungary
Ireland
Netherlands
New Zealand
Norway
Poland
Portugal
Romania
Russia
Singapore
Slovakia
South Africa
Spain
Sweden
Switzerland
Turkey
UK
USA
These Countries ONLY
Date Of Sale To Station
/
Day
/
Month
Year
Date
Broadcast Start Date
/
Day
/
Month
Year
Date
STATION NAME / ID 10
Station Type
TV
Radio
Country
+ Select Country +
Australia
Austria
Belgium
Bulgaria
Chile
China
Croatia
Czech Republic
Denmark
Finland
France
Germany
Greece
Hong Kong
Hungary
Ireland
Netherlands
New Zealand
Norway
Poland
Portugal
Romania
Russia
Singapore
Slovakia
South Africa
Spain
Sweden
Switzerland
Turkey
UK
USA
These Countries ONLY
Date Of Sale To Station
/
Day
/
Month
Year
Date
Broadcast Start Date
/
Day
/
Month
Year
Date
Royalties are paid subject to
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