Digital.schirmer.com



Wise Music / Synchronization Department

1247 6th Street, Santa Monica, CA 90401, (310) 393-9900

Instructions and Licensing Information for Film/TV and Other Projects

Please complete all fields and send to sync@

Organization: __________________________________ SYNCHRONIZATION QUOTE REQUEST FORM

Mailing Address: __________________________________ FOR AUDIOVISUAL (VIDEO) IN-CONTEXT,

City: _________________ State: _______ Zip:_________ ON-DEMAND STREAMS ON WEBSITES

Contact Name: __________________________________ AND SOCIAL MEDIA CHANNELS

Contact Email: __________________________________

Phone Number: __________________________________ Date: ______________

To whom it may concern,

Please provide a quote for 100% of the non-exclusive synchronization use, to be licensed under the following terms and specifications:

|Composer: | |

|Composition Title: | |

|Publisher(s): | |

|Portion(s) of Composition Used: | |

|(i.e. “Complete” “Movement 2” “Bar 194-end of the first | |

|movement”) | |

|Timing of Portion(s) Used: | |

|(indicate each portion’s timing/duration separately) | |

|Description of Use: | |

|(i.e. Organization website url, YouTube, Facebook) | |

|Paid Media: Internet Streaming (non-downloadable) behind a |List website(s) the performance will be streamed on: |

|paywall for PAID subscribers or virtual ticket holders. | |

| |Ticket fee: |

| |Estimated number of tickets/viewers: |

|Free Media: Free Internet Streaming (non-downloadable; limited|List website(s) the performance will be streamed on: |

|to sites such as: YouTube Page & social media channels; no | |

|paid media) | |

|Term: |One Month |

|(Select the option you would like quoted. Please note we will |One Year |

|not grant licenses for single use or in perpetuity.) | |

|Territory: "Worldwide unless geo-blocked for specific | |

|territory. Please confirm." | |

|Requested Posting Date: | |

|Budget for this license: | |

[Please add additional notes or comments about your project and the use.]

Sincerely,

_____________________________

PLEASE NOTE:

• The fees quoted to license our compositions are based on 100% of the publishing/synch ownership.

• The fees collected will be based on 100% Pro Rata — Pro Rata meaning we will accept our percentage of the total fee based on the percent of the composition we own and/or administer. (Example: If the total licensing fee is quoted at $10,000 and we control %50 of the publishing rights, we will quote $10,000 pro rata and will invoice and collect $5,000.)

• All fees are MFN with co-publishers and master holder.

• Licenses for paid media use will not be quoted using this form. Please refer to:

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