Please fill out the form below and click “Submit”.

  • Licensee Contact Information
  • Title of Your Project*
  • Production Company*Company/Network name
  • Contact Name*(Your Name)
  • Street Address*
  • City*
  • State*
  • Zip Code*
  • Country*
  • Phone Number*XXX-XXX-XXXX
  • Fax Number*
  • Email*example@example.com
  • Song Information
  • Song Title*
  • Artist(s)*
  • Composer(s)*
  • Publisher(s)*
  • Source Album*
  • Greensleeves Publishing, LTD*Controlled share %
  • STB Music, Inc*Controlled share %
  • Terms of Request
  • License Fee*(for 100% of the composition)
  • MFN*with co-publishers and master owner?
  • Advance**indicate unit of currency.
  • Length of Term*(years, months, days)
  • Release Date*
  • Territory*please be specific
  • Projected Sales*(in units)
  • Synchronization Use Description
  • Title of your project*
  • Usage Type*check all that apply
  • Rights Requested*check all that apply
  • Length of Use*Runtime in minutes and seconds
  • Information*Please provide a brief synopsis of your project
  • Description*Please provide a description of the use
  • Production's total budget**indicate unit of currency
  • Mechanical License
  • Title of Track*
  • Name of Artist*
  • Composers*
  • Album Title*
  • Record Label*