REPERTOIRE SUBMISSION FORM RECORDING INFORMATION, MINIMUM REQUIRED

Featured Performer Name *

[Artist, Band, or Ensemble]

* REQUIRED DATA. Please provide as much data as available. Excel or CSV files only please.

ORDING INFORMATION, MINIMUM REQUIRED

Track Name *

[Enter one track per row, use as many rows as needed]

Album Name

Marketing Label Name

FEATURED PERFORMER CLAIM What % of the Featured Artist Performance Royalty do you claim? * (Ex., 100% if a solo artist, or 25% if a Member of a Quartet, etc. Enter "n/a" if not a Performer)

MASTER RECORDING CLAIM Do You Own The Master Recording of This Track? * If Yes, what % of Master Recording do you own?

ING CLAIM If No, what is the name of the Label or Person(s) who owns the Master?

Version, if applicable

(Ex., "live", "dance remix", etc)

ADDITIONAL INFORMATION TO ASSIS

ISRC (if known)

Album UPC (if known)

ADDITIONAL INFORMATION TO ASSIST IN COLLECTING ROYALTIES Territory of Fixation (where the Master was recorded or made)

Year of Release

Distributor (if different from Label name)

Publisher (for songwriter)

Solo Artist Group Group Member

Y N