Name * Inquirer's Name Email * Phone * Billing Address * Is shipping address different * Yes No Shipping Address * Organization * Requested Title * Composer/Arranger * Publisher/Imprint * - Select -EB MarksEdwin F. KalmusLauren Keiser MusicLudwigMasters PublicationsSouthern Music Company Copyright Year * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 Request Type * - Select -Academic PermissionArrangement for commercial sale (sub-publishing)Arrangement for private or organizational useBroadcast, RadioBroadcast, TelevisionDigital, Internet or StreamingGrand RightsMechanical RightsPhotocopy PermissionSynchronization for Film or TVOther (please specify) Other Request Type * Permission Term Start Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202320242025 Permission Term End Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202320242025202620272028 Territory * (Please specify which Country, Region, or “World”) Additional Details Leave this field blank
