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


REQUEST FORM INTERNET-USE

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.

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.

Our offers excludes the master rights. The rights regarding the recording (master rights) have to be acquired seperatly by you through the master owner, i.e. lable or record company.


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

   
Titel der Komposition
   
Author
(composer, lyricist)
   
Name of artist
   
Type of recording Originial recording
Cover-version
   
ISCI number
(if available)
   
Was the musical work altered
(e.g. new text)?
 
Will the song be used as the "red thread" or "story" oft he film plot?
Yes
No
   
Type of use Vocal
Instrumental
Visual
Background
Opening credit and/or final credit
   

Intended use

 
Project Title
   
Type of website
Commercial
  Private
  Others:
   
   
URL
   
Monthly no. of visits
   
Short description oft he website
   
   
Type of film  
Imagefilm/Exhibitionfilm/PR
Documentary/Cultural film
In-House / Promotion
Advertising trailer
Product advertising
If yes, name product:
Others:
 
   
   
Does the film contain other advertising of sponsons, cooperation partner etc. Yes
No
   
   
Kind of representation Streaming
Download
   
   
Short description of the film/the audio-visuall production
   
Duration of the film
   
Lenght of the music used in the Film in seconds
   
Are further msuical compositions used? Yes / If yes, which:
No
   
Total no. of seconds of music used
   
Gross media budget
   
Total music budget
   
Territory availability worldwide
geo-blocked
   
Licence term (e.g. 1 year)
   
Planned release date
   
Further online-media required? - Soziale Netzwerke
YouTube
Facebook
Vimeo
Other:
 
- Paid/Media
Pre-Rolls
Banner advertising
   
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