CMRRA Synchronization License Application Form

CMRRA Synchronization License Application Form
(Film, TV and Audio-Visual Productions)

Do not use this application form for the following musical uses or products:
1. Advertising or similar commercial uses of music
2. Multimedia products: DVD, CD-ROM, computer and video games, etc.
3. Musical Merchandise: Toys, music boxes, greeting cards, or other novelty items
4. Internet and web site uses.

If you wish to apply for a license for the use of a musical work that falls into the above four categories,
please contact CMRRA's Synchronization Licensing Department to obtain the proper application forms
and documentation.

Please note:
1. A synchronization license grants authority to reproduce a musical composition only. It does not grant authority to reproduce a master recording. You must obtain a license for any master recording which is used in your production from the owner of such recording.
2. CMRRA does not accept applications for "gratis" or free synchronization licenses. You may offer, where indicated below, a proposed license fee, which will be considered by the publisher.

Items marked

are required. Your application cannot be processed without this information.

1. Producer Information

	Production Company:
	Address:
	City:
	Province:
	Postal Code:
	Phone:	( ) -
	Fax: *(If you do not wish to receive a fax confirmation of your license application, leave this field blank.)*	( ) -

	Email:
	Contact Name:

2. Description of Musical Work

	Title:
	Author(s):
	Publisher(s):

3. Description of Production

	Production Type:
	Synopsis:
	Episode Number:	(Series only)
	Production Title:
	Producer(s):
	Language(s):	English French
	Length:	hrs. min.
	Song used in credits?
	If yes, provide details:
	In context trailers?
	Is this a *Renewal* of an existing CMRRA License?
	If yes, provide license number or date of existing license:

4. Description of Use

	Duration of Musical Work in Production:	min. sec.
	Number of Uses of Musical Work in Production:
	Type of Use:
	Scene description:
	Territory:	(If "Other", specify: )
	Term:	yr. mo. or: in perpetuity Commencing: Ending:
	Number of Plays:	or: unlimited
	Market(s):	Theatrical Exhibition Art Houses Only Internet - World Internet - Canadian Access Only Free Television French Networks Only Cable Television Pay Television Satellite Television DBS/DTH Airline Film Festival DVD Unlimited Number of Copies DVD Limited Number of Copies Non-Theatrical Public Exhib. in Commercial Establishments Non-Theatrical Public Exhib. in Non-Commercial Establishments Non-Theatrical Public Exhib. in Educational Institutions Other (please specify) (If "Other", specify: )

5. Additional Information


	Note: You MUST indicate the anticipated total budget of your production below. You may also propose a license fee which you are willing to pay.

	Total Production Budget:
	Proposed License Fee:
	Other Information:

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