Notification of Work Form
Notification of Work Form
Are you registering an Advertising Jingle?
Yes
No
Song Information
Is this registration part of a riddim?
Yes
No
Name of Riddim
Song Title
Alternative Title if one:
Performer
Duration: Minutes
Duration: Seconds
Genre
If based on Public Domain (PD) Words/Music
Arrangement of PD music and new words
Adaptation of PD words and new music
Arrangement of PD music and adaptation of PD words
Arrangement of PD music and unchanged PD words
Adaptation of PD words and unchanged PD music
Arrangement of PD music only (instrumental)
Other
(if other please give details)
Music for Use in Advertisements
Title for Advertising Jingle
Agency
Product:
Script Title
Performer
If you are human, leave this field blank.
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