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

  • Licensee Contact Information
  • Title of Your Project*
  • Production Company*(company/organization)
  • Contact Name*(Your Name)
  • Street Address*
  • City*
  • State*
  • Zip Code*
  • Country*
  • Phone Number*XXX-XXX-XXXX
  • Fax Number*
  • Email*example@example.com
  • Master Information
  • Song Title*
  • Artist(s)*
  • Composer(s)*
  • Publisher(s)*
  • Source Album*
  • Greensleeves Publishing, LTD*Controlled share %
  • STB Music, Inc*Controlled share %
  • Terms of Request
  • Length of Term*(years, months, days)
  • Release Date*
  • Territory*please be specific
  • Projected Sales*(in units)
  • Interpolation/Sample Use
  • New Composition's Title*
  • New Composition's Artist(s)*
  • New Composition's Writer(s)*
  • New Comp. Publisher(s)*