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Licensing Form - Grand Rights

Company Name Required

Company Address Required

Contact Details Required

Date

Title of Composition Required

Project Title Required

Number of Performances Required

Duration Required

Media Required (e.g. Score, Lyrics)

Territory Required

Term Required (e.g. 1 Year, Perpetuity, etc)

Admission Price (e.g. $30.00)

Performance Dates Required

Proposed Fee Required

Other Information

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