Umphrey's McGee Licensing Request Form
Email Address *
Your answer
Name *
Your answer
Phone Number *
Your answer
I am... *
What is the project about? *
Your answer
Are there any brands involved? *
Your answer
How do you want to release the video? (Online, TV, DVD, etc.) *
Your answer
Term - How long do you want the license for? (i.e. 1 Year? 2 Years, Perpetuity) *
Your answer
Territory - For which parts of the world? (i.e. US only, Europe Only, Worldwide, etc.) *
Your answer
What song(s) do you want to use? *
Your answer
Duration/Use - How much of the song do you want to use? *
Your answer
What is your music licensing budget? *
Your answer
Do you have a release date? *
Your answer
Are you using other commercial music? *
Your answer
If so, are you paying a fee for them and how much?
Your answer
Anything else we should know?
Your answer
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