Name of Person Completing This Form *

First Name

Last Name

Artist Name *

First Name

Last Name

Does this artist have a profile on Apple Music? *

Yes

No

Does this artist have a profile on Spotify? *

Yes

No

Release Date *

MM

DD

YYYY

Pre-release Date

MM

DD

YYYY

Previously Released *

Yes

No

Copyright Owner (does the artist own this work) *

Yes

No

Do you want us to collect publishing royalties (third-party collects 15% of revenue)? *

Yes

No

Do you want us to pitch and collect Sync royalties (placement in TV, Movies, etc. - third-party collects 50% of this revenue)? *

Yes

No

Do you have a ATMOS version?

Yes

No