Request form for synchronization licence

Request Form for Synchronisation Licence

Fill the fields in the application. (*) Required fields

Producer's Details

Full Name *

Address *

Street Address

City

State / Province / Region

Zip / Postal Code

Country

Telephone Number *

Phone Number

Fax

Phone Number

Email Address *

Tax Details:

Business Activity

Vat No

Tax office

Work

Title *

Arranger

Title of the sound carrier

Composer *

Publisher

Record Company

Project details

Use *

Commercial
Film (brief summary is requested)
TV production
Advertising spot

Broadcasting media *

If other Broadvasting Media:

Requested license duration: *

Territories of broadcasting *

Kind of use *

Background
Credits (beginning and end)
Other

If other kind of use:

Duration of the musical work: minutes / seconds *

Total duration of the production: *

IMPORTANT NOTICE: For more details concerning the synchronisation licences and for access to sound samples of our rich catalogue, please contact us at the following e-mail address: promotion@theartbassador.gr

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