MAGNETIC WEST MUSIC
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License Request
Form
*
Indicates required field
Name
*
First
Last
Company
*
Phone Number
*
Email
*
Title of your production
*
what is your film / video / media production called?
Production Type
*
Advertisiment
Film
Film Trailer
TV Show
Video Game
Marketing Video
Personal Video
Podcast
Other
SONG/TRACK TITLE(S)
*
List the song(s) / track(s) that you want to use.
Description of Use
*
Describe your project and how you would like to use the song. Also indicate production distribution notes, such as Film Festival, student film, corporate, educational , etc.
Placement in Production
*
Featured
Background
Opening / Closing Credits
where is the music placed in your production? during the credits? in the background under dialogue? featured in a montage ?
Duration of Use
*
Let us know the length of the music you want to use in your project. Examples: "First 1 minute of the song," "Entire song," etc.
Media
*
Theatrical ( Film )
TV
Internet
Radio
All Media
Other
with what media will your production be broadcast?
Term
*
1 Year
2 years
Perpetuity
other
How long do you need to license the music for?
Territory
*
North America
South America
Europe
Asia
Worldwide
where will your production be broadcast?
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