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Synchronisation license – Feature Film / Documentary
Please enter the following information on the requested work: Which work do you intend to use?
Publication title^*
Subtitle / Movement^*
Composer^*
Text author
Publisher:
How often ist he work used in the film?^*
How long is the respective excerpt? Duration? ^*
Is it used as background music?^*	Yes No
Will the work be used in the original version or shall the work or the text be modified?^*
Please specify the type of arrangement:
Do you want us to recommend a recording or CD?	Yes No
Which CD do you want to use?
Title:
Label:
Catalog number:
Track:
Please enter the following information on your film:
Film title:^*
Duration of the film:^*
Synopsis of the film:^*
Description of the scene(s) in which the work will be used:^*
Name of the producer:^*
Name of the director:
Names of the principal actors:^*
Amount of the production budget:^*
Please specify the medium in which the film shall be exploited:
Media^*	Festivals Internet Mobile entertainment CD-ROM Video DVD Cinema TV All media
Festivals
License territory:
License term:
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Internet
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All URLs:
Certain URLs:
Visitors per month per URL:
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Mobile entertainment
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License term:
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CD-ROM
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License term:
Number of copies:
Price (RSP without VAT):
Remarks
Video
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License term:
Number of copies:
Price (RSP without VAT):
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DVD
License territory:
License term:
Number of copies:
Price (RSP without VAT):
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Cinema
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License term:
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TV
License territory:
License term:
All channels:
Only the following channels:
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All media
License territory:
License term:
Remarks
Please enter the contact details of the licensee/recipient of the invoice:
First and last name
Company
Department
Street address^*
ZIP/City^*
Country
Phone
Fax
E-Mail^*
Contact details of the requesting person, if different to the above contact details:
First and last name
Company
Department
Street address
ZIP / City
Country
Phone
Fax
E-Mail

	*) Required fields

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