LICENSE AND REPORT MUSIC

This form must be filled out completely and submitted within 5 days of use or license WILL NOT BE GRANTED. The deposit paid at the time of registering for download will be applied to the charges below. You will receive a detailed billing via email including your account balance and total charges due.

Questions? Contact Trakwerx at info@trakwerx.com, or by phone at (818) 991-1930.

• PER USE - Each time a piece of music starts & stops within a production.
• PREMIUM CABLE TV - Showtime, HBO, etc.
• ALL BROADCAST MEDIA - Includes Free,Basic & Premium Cable TV, Radio, Internet.
• ALL MEDIA RIGHTS - Includes All Broadcast Media plus Home Video/DVD and Pay-Per-View.
• WORLDWIDE BROADCAST - Broadcast in two or more countries.
• PRODUCTION BLANKET - Unlimited synchronization usage in one production. Not available for commercials or promos.

If you are unsure of the type of clearance you require, please call for clarification.

PRODUCTION INFORMATION (*REQUIRED FIELDS)
*CLIENT:
*PRODUCER/FACILITY:
*NAME OF PRODUCTION:
*PO#:
CD CODE/TITLE TRACK # TITLE # OF USES
INVOICE AND LICENSE TO (*REQUIRED FIELDS)
*NAME:
*COMPANY:
*PHONE NUMBER:
FAX NUMBER:
*EMAIL:
PLEASE CHECK ALL APPROPRIATE BOXES
BROADCAST
COMMERCIALS AND PROMOS
PER USE LOCAL REGIONAL NATIONAL WORLDWIDE TV/BASIC CABLE $90 $125 $170 $340 PREMIUM CABLE     $170 $340 RADIO $90 $125 $170 $340 PSA $90 $125 $170 $340 INTERNET     $175 $250 ALL BROADCAST MEDIA $150 $180 $300 CALL FOR RATES
PROGRAMS
PER USE LOCAL REGIONAL NATIONAL WORLDWIDE TV/BASIC CABLE $90 $125 $170 $340 PREMIUM CABLE     $245 $490 RADIO $90 $125 $170 $340 PSA $90 $125 $170 $340 INFOMERCIAL $90 $125 $170 $340 INTERNET     $175 $250 ALL BROADCAST MEDIA $150 $225 $450 CALL FOR RATES
PROGRAM PRODUCTION BLANKET CHECK THIS BOX AND CALL FOR RATES THEMES CHECK THIS BOX AND CALL FOR RATES
NON-BROADCAST
INCLUDES: AUDIO OR VIDEO CASSETTE, CD-ROM, DVD, INDUSTRIALS, HARD DISK DELIVERY, MULTIMEDIA, SLIDES, AND MUSIC-ON-HOLD $80 PER USE
NON-BROADCAST FOR SALE
INCLUDES: AUDIO OR VIDEO CASSETTE, CD-ROM, DVD, INDUSTRIALS, HARD DISK DELIVERY, MULTIMEDIA, SLIDES, AND MUSIC-ON-HOLD CHECK THIS BOX AND CALL FOR RATES
THEATRICAL
TRAILERS
US THEATRICAL RELEASE	$750
ALL RIGHTS	CHECK THIS BOX AND CALL FOR RATES
FILM
US THEATRICAL RELEASE	CHECK THIS BOX AND CALL FOR RATES
FILM FESTIVAL	$250
ALL RIGHTS	CHECK THIS BOX AND CALL FOR RATES
PRODUCTION BLANKETS	CHECK THIS BOX AND CALL FOR RATES
PROMO PACKAGE	CHECK THIS BOX AND CALL FOR RATES
TAG RATE	50% OF LASER DROP FEE