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


SYNCH REQUEST FORM FILM

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

   
Title of composition
   
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
   
Director
   
Producer
   
Film Cast
   
Production Company
   
Distributor
   
Media  
Cinema
TV
DVD / Video
Copies and retail price:
Festival
Online - download
Online – streaming
Social Media
Which platforms?:
Websites
Which websites?:
Others:
 
Type of film  
Music film
Feature film
Documentation
Cultural film
Industrial film
Student-/Academy film
TV Co-production
Others:
 
   
   
Length of music in the Film in seconds
   
Duration of the film
   
Total production budget
   
Total music budget
   
Territory
   
Licence term (e.g. 1 year)
   
Planned release date
   
Storyboard
(Always in English)
   
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 Dammheid