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ONLINE MUSIC SERVICES APPLICATION FORM
Particulars
Applicant's Name :
Telephone Number :
Fax Number :
Mobile Number :
Email :
Is the applicant name (as above) a business name? Yes No
If YES, is the business name that of a :
Company
Partnership
Sole Trader
Non-Profit
Private Ind.
Others, please specify:

How do you intend to use music on your website?
Select any of the following options that apply:

Net Radio

Active Radio

Music Concerts Webcasts

Online Music Retail

Looped Background Music (Websites)

On –Demand Clips & Works

Mobile Phone Ringtones

Please provide the following product information:

Product Name :
Method of delivery :
Site Address :

Will you generate advertising revenue from third parties on your web site?

Yes No

Will you generate sponsorship revenue from third parties on your web site?

Yes No

Will you generate revenue through donations?

Yes No

Will you generate revenue through marketing information?

Yes No

If you will be generating revenue,
how much will you generate per month?

gross per month (approx.)

Estimated number of hits on your site per month:

hits per month

Cost per item:

per item

Please give details of the titles of the musical works you wish to use on your site.
What will be the average duration of each musical work you intend to use?

seconds
Will musical works be updated regularly (are they chart based)?
Yes No

Commencement Date:


(if site only to be available for a given period)
End Date:
(if site only to be available for a given period)

No. of Ringtones Available :

Full reporting of all works played on a quarterly basis is required.

You will also require a licence from the owners of the rights in the master recordings

Date :