Full Name *

Phone *

Address *

Email *

What is your Instagram account username? *

What's Your Role In The Music Industry? *

Artist

Songwriter/Producer

Manager/Executive

Other

Are You Affiliated With Any PRO's (Performance Rights Organization)? *

Yes (BMI, ASCAP, or SESAC)

Not Yet

I Don't Know What That Is

Please list the song title and artist name for the works you believe you are owed royalties for below: *

What is your percentage of ownership for the above song(s)? (List song title and percentage) *

Have You Ever Had A Publishing Deal?

No

Yes (Currently In A Pub Deal)

Yes (Not Currently In A Pub Deal)

Do any of the songs in your catalog contain samples? *

Yes

No

How did you hear about us? *