Mechanical License Request
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Label Name/Company Releasing the Product *
Label Address *
Your Name *
Contact Email *
Contact Telephone *
Song Title *
Writers *
Album Title *
Artist(s) *
Mechanical Rate *
Proposed Advance *
Catalog Number/UPC *
Track Timing *
Does the track contain 2 or more songs? (e.g. medley, mashup, etc.) If yes, please describe the use and list all song titles. *
Configuration(s) *
Required
Suggested Retail Price of Album *
Track ISRC code *
Date of Release *
MM
/
DD
/
YYYY
Number of Units Being Manufactured *
Territory *
Term *
Number of Tracks on Album *
List of All Tracks on Album *
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