E-mail Address: *
Name of ARTIST/COMPOSER :(i.e the musical act /song-writer representative registered with us): *
Your Royalties account number: *
Name of musical act on the release (must be the same as one of the acts you registered on the new client registration form): *
Title of release: *
Name of record label: *
Catalogue number: *
Format (cd / LP / 7 inch etc) *
Release date (estimate if not known exactly, but must be within the last 6 years): *
Number of copies pressed up (if unsure, estimate): *
Title or titles of tracks you composed which were included in this release: *
I already have a record of the agreement terms when originally registering - please confirm. *yes
no
* Required
 
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