Request for Publishing

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Publishing

Request for Publishing

Publishing Application Form

APPLICATION FOR MUSIC AUTHORS

Please fill in the details below if you would like us to consider handling all your Publishing needs. You will receive a submission confirmation email.
All information will be handled with the upmost confidentiality.

We will contact you within 48 hours of submission.

PERSONAL INFORMATION

Last Name: *

First Name: *

Name usually known by:

Date of birth *

Nationality: *

Gender: * Male Female

ADDRESS INFORMATION

Address: *

Postal Code: *

Town/City: *

Country: *

Home phone: *

Mobile phone:

Business phone:

Fax number:

E-mail: *

Attach a copy of Passport / Drivers License / IDcard: *

MUSICAL INFORMATION

I am a: * Composer Lyricist Arranger

Reason for joining:

My works are broadcasted on: * National Radio/TV Commercial Radio/TV Local Radio/TV Regional Radio/TV International Radio/TV

My works are performed by:

My works are performed live approx. ..?.. time per year

My works are released on sound carriers: On a record label Independently (I do it myself)

Music Style: Pop Rock Dance Jingles/Commercials Jazz/Improvised Film/Musicals Religious Brass Classical

Other, namely:

Web sites / Social media to listen to my music:

DATA SUBMISSION CONFIRMATION

I would like to enter into a contract with WOD Music Publishing: * Yes No

The required proof of Identity enclosed is: * Copy of Driving License Copy of Passport Copy of ID card

Last Name & initials *

Type the characters you see in the picture below

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