This form is strictly for "original songs" in our catalog. American Laundromat Records administers both the synchronization and master use licenses for all original songs in our catalog. If you wish to license a "cover song" from our catalog, kindly go back to the previous page and use the correct form.


CONTACT INFORMATION

YOUR NAME

COMPANY

ADDRESS

CITY

STATE

ZIP CODE

EMAIL

PHONE


LICENSE REQUEST DETAILS

PROJECT TITLE

TYPE OF PROJECT

PRODUCTION COMPANY

DISTRIBUTION COMPANY

OVERALL BUDGET

PROPOSED FEE

PRODUCER

WRITER

DIRECTOR

MAIN CAST MEMBERS

PLOT SYNOPSIS & RUNNING TIME

REQUESTED TITLE(S)

Name of song(s) you wish to use

MASTER RECORDINGS

Name of artist performing the song(s) you wish to use

TIMING & TYPE OF USE

Please provide details on how the song(s) will be used in your project, as well as the approximate timing in minutes/seconds (i.e., up to 1:30 background vocal over opening titles, :45 background vocal over montage, etc.)

REQUESTED RIGHTS/REQUIRED MEDIA

Please specify exactly what rights you require (i.e., all linear progression media, film festivals, free/network TV, basic cable/satellite TV, pay/subscription TV, home video/DVD, etc.)

LENGTH OF TERM

(e.g., two weeks, five years, perpetuity, etc.)

TERRITORY

(e.g., United States and Canada, Japan, Worldwide, etc.)

ADDITIONAL SONGS USED IN THE PROJECT

Please include quotes and terms from other publishers and/or master owners, if possible

ESTIMATED RELEASE DATE

SUMMARY/ADDITIONAL INFORMATION

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