GmbH & Co. KG


An der Dammheide 10 * 60486 Frankfurt am Main * Telefon: (069) 29 98 67 0 * Telefax: (069) 29 98 67 10 * www.melodiederwelt.de


PRINT REQUEST FORM

Thank you for your inquiry. Enabling us to work on this, we kindly ask you to fill in the questionnaire in the most complete manner as possible. Only then, we will be able to provide you with an individual offer. For transcriptions, we need the sheet music via E-Mail, because we have to pass this on to the original interested party. The use of printed notes, original pictures and/or original lettering is not included in the grant of rights.

IMPORTANT:

We can only provide you with a non-binding offer, since usage is always subject to approval of the original right owner. The rights granted for the usage only become valid upon complete signature of the relevant license agreement as well as upon receipt of payment of the license fee. The approval only applies to the copyright share we control and is always subject to approval of the co-publisher in each case.


Name and address of the licensee

   
Company Name
   
Address
   
Contact person
   
E-Mail
   
Full contracting party name and address
(if different from above))
   
Billing to
(if different from above)
   
VAT number
   

Information about the used composition

   
Title of composition
   
Author
(composer, lyricist)
   
Co-publisher
(if existing)
   
   
Imprint Musik und Text
  Nur Musik
  Nur Text
 
Further titles
(name and authors)
   
   
   
   
   
   

Intended use

 
Title of publication
(Order number, if existing)
   
Author, publisher
   
 
Art der Publikation Songbook
Single edition
Collection
Magazine
Book
E-Book
CD-booklet
Others:
 
   
 
Instrumentation
   
Units
   
No. of Edition
   
Territory
   
Retail Price
   
No. of works in publication
   
No. of works protected by © in publication
   
Release date
   
Notes
   
Date
   

 Declaration of consent under the contact form (must be confirmed with a tick): I have read the Data protection declaration and hereby consent that my details as taken from the inquiry form, including the contact details entered by me there, may be extracted, processed, recorded and used by MELODIE DER WELT GmbH & Co. KG for the purpose of processing my inquiry and in case of any subsequent follow-up questions. You may at any time withdraw your declaration of consent by notice to MELODIE DER WELT GmbH & Co. KG. You additionally have the right to demand correction or deletion of information or a limitation of its processing or of the transferability of its data content. Upon request, you will receive at any time information about the data stored in relation to your person, its origin and recipients, as well as the purpose of the storage of such data.

Please direct any contacts for this purpose to:
MELODIE DER WELT GmbH & Co. KG, An der Dammheide 10, 60486 Frankfurt am Main, Germany