Your Royalties

Name or artist/composer *

Postal address of artist/composer *

Telephone number of artist/composer *

E-mail Address: *

Confirm email address of artist/composer (as listed above). *

Name of current or most recent musical act represented by artist/composer (add additional names if songs have been performed by more than one act you represented over the last 3 years) *

Website URL of current or most recent musical act. *

If you agree to the terms of the publishing agreement (as stated here), tick the box.(*These terms will also be confirmed by our return email so you can keep a record of them !) *

yes
no

What will you be claiming for? *

Airplay
Live performance
Mechanical

Please state your most recent UK national airplay, giving details of station, song title and date of broadcast. If none, state NONE. *

Please state your most recent 3 UK gigs, including name of act, venue, and date of performance. If none, state NONE. *

If claiming Mechanical Royalties, please state the name of release, name of track(s), name of act, and an estimate of how many copies pressed up. If none, state NONE. *

Where did you hear about our service?

Media Advertisement
Online Search
Through a referral (The name of the person or company who referred me is entered below)

Please name the person or company who referred you to our service. If irrelevant, state NONE.

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