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 Year19241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024 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 Year202220232024 Permission Term End Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202220232024202520262027 Territory * (Please specify which Country, Region, or “World”) Additional Details Leave this field blank
