Mechanical License Application

Mechanical License Application for Audio Recording

Use this form only for Audio recordings. Do Not use for DVDs or Film.

Please be sure to fill in all of the fields.

	Date
	Title of work to be released
	Exact duration of performance
	Composer of music and Author of text (if any)
	Format of Recording (CD, Cassette, etc.)
	No. of copies to be manufactured
	Country of Manufacture
	In what countries will they be distributed (Name of countries or Worldwide)
	Record Co.
	Title of Album
	Recording Artist
	Record Catalog No.
	Release Date
	Name and Title of Contact Person
	Name of Company or Organization
	Full street address
	Telephone No.
	Fax No.
	E-mail Address

Date