Blue Pie Productions Licensing Rights Form (not for advertisers)

Thank you for your interest in licensing a Blue Pie Productions Sound Recording.

In order to facilitate the licensing quotation process, it would be appreciated if you could provide the information outlined in the form below. This information will provide us with details of the scope and nature of License you are seeking and we will then be able to provide you with a preliminary quotation for the use as outlined. Please allow at least 48 hours for a quote to be drawn up. Should you wish to proceed with clearance, please allow at least two weeks for clearance.

Licensing Requirements
Artist *
Song Title *
Master Source (if known) *
Title of Production *
Name of Distributor *
Name of Production Company *
Type of Media	TV (Free to Air) TV (Pay) Radio Internet (All) Internet (Product Website only) Cinema DVD (please include number of units) Film Festivals Other
Territory *
Term *
Commencement	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Extract	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60  minute(s) & 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60  seconds
Project Details
Scene Synopsis *
Project Synopsis *
Options
Who is the Publisher(s)? *
Is it approved?	Yes No
Upload storyboard or script
	If you have a story board or project plan then please load this here. The more information we have the faster we can process your request.
Your Details
Your Name *
Company Name *
ABN/ACN
Phone Number *
Fax Number
Email Address *