PROL Performing Right Online Licence Application Form 2016 Company Name*Contact Name*Email* Telephone Number*Contact Address* Street Address Address Line 2 City ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Street Address Address Line 2 City ZIP / Postal Code Country Billing Details (if different)AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Company or Charity Registration NumberPurchase Order NumberLicensed Service DetailsName of Service/Campaign*Website URL(s)*Launch Date* Date Format: DD slash MM slash YYYY End Date Date Format: DD slash MM slash YYYY Description of service and contentMCPS Licence Number (if applicable)Our fee structure allows a given number of uses for multiples of €75 (+VAT). Licensees will be required to estimate usage upfront and approach us for additional licence coverage if original estimates are exceeded. Please note: If more than 4 units are selected (the licence fee equates to €300 + VAT or over), you must contact the Licensing Team on 353 (1) 644 8023.There are two service categories. Please indicate in the ‘number of units required’ column how many of the €75 (+VAT) bundles you require to cover your anticipated usage. Example: If you expect 5,000 users to stream 10 songs each this would be equal to 50,000 uses and therefore 2 x €75 (+VAT) Units would be required.1. Music ServicesMusical works offered for download or made available to stream on demand in content where the primary focus is music.On-Demand StreamsAllowed uses per €75,00 (+VAT) is up to 45,000 streamsNumber of €75 (+VAT) Units required Price: 75,00 € QuantityBackground to WebpageAllowed uses per €75,00 (+VAT) is up to 120,000 streamsNumber of €75 (+VAT) Units required Price: 75,00 € QuantityPermanent Download Price: 75,00 € Allowed uses per €75,00 (+VAT) is up to 5,000 downloadsNumber of €75 (+VAT) Units requiredQuantity2. General Entertainment ServicesMusical Works offered within content made available to download or stream on demand where music is not the primary focus or a website that features a musical work as background music.On-Demand StreamsAllowed uses per €75,00 (+VAT) is up to 3,200 music hours streamedNumber of €75 (+VAT) Units required Price: 75,00 € QuantityBackground to WebpageAllowed uses per €75,00 (+VAT) is up to 8,500 music hours streamedNumber of €75 (+VAT) Units required Price: 75,00 € Quantity: QuantityProduct Name Price: 75,00 € Quantity: Permanent DownloadsNumber of €75 (+VAT) Units requiredAllowed uses per €75 (+VAT) is up to 350 music hours downloadedGeneral Entertainment Services are licensed with reference to the amount of music hours consumed. For example, a streamed video featuring 3 minutes of music streamed 20,000 times equates to 60,000 music minutes or 1,000 music hours. This is therefore within the limit allowed under the €75 minimum.TotalPlease indicate the total fee for your application. Please make cheques payable to “Irish Music Rights Organisation”.Total €75 Units Required (Music Service + General Entertainment)1 unit / €75 (+VAT)2 unit / €150 (+VAT)3 unit / €225 (+VAT)4 unit / €300 (+VAT)Music UsagePlease indicate in the table below the musical works that you will be using. Please ensure you indicate whether each piece of music is commercial music, MCPS production music or buyout library music. If you are unsure of the music type, are using more than five tracks or you have any questions as to how to complete the information below, please contact the Licensing Team on 353 (1) 644 8023.Musical Works UsedSong TitleArtistComposersPublishersCatalogue NumberCommercial/ Production/ BuyoutDurationURL Please refer to the full Terms and Conditions for full scheme details and definitions.Agreement* The information contained in this document is accurate to the best of your knowledge You accept and agree to be bound by the Terms and Conditions IMPORTANT: Please note that no licence, whether express or implied, shall be taken to have been granted by MCPS, IMRO or their members merely by the completion and / or submission of this application form. Such a licence shall only be deemed to be granted upon return to the licensee of a copy of this application form, duly signed on behalf of the Licensors.Total 0,00 € Total amount to be invoiced based on user requirements. Please note that total amount is exclusive of VAT