AP7 (DVD) Form

In compliance with the copyright act 2000, we the undersigned hereby apply for a license to produce for the purpose of retail sale, analogue/digital media recordings reproducing the under mentioned works.

Company/Applicant:*

Record Company/Applicant is NOT usually the pressing plant. This should be the person responsible for paying mechanical royalties and submitting any further pressing figures.

Address:*

Street Address Address Line 2 State / Province / Region ZIP / Postal Code Country

Phone:*

Email:*

Cat No:

Publication:

Artist:*

Product Title:*

Release Date

Total Tracks:*

DVD Quantity:*

Base Price or Retail Price*

Please choose one of the following and place the price in the Price field below.

Base Price relates to 50% of the cover price of the relevant magazine publication, subject to a minimum.

Retail Price is the price at which a retailer sells a product to a customer.

Price*

Total Duration:*

Manufactured By:*

Track Listing*

Side	Medley	Track	Title	Composer/Previous Artist	Duration

Please add the information for each individual track used in this product

Is there any third party association incorporated on the body of the disc or packaging, including (but not limited to) sponsorship, advertising, branding, etc?*

Yes
No

If you ticked yes above, please list the third parties below

Will the music on the product be reviewed in the publication?*

Yes
No

Will the required copyright awareness statement and logo be included?*

Yes
No

Has permission been obtained for the use of the sound recordings?*

Yes
No

AP7 (DVD)

About IMRO

Music Creators

Music Users

Supporting Music