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Liben Music Publishers
Mechanical License Application for Audio Recording

Use this form only for Audio recordings. Do Not use for DVDs or Film.



Date


Title of work to be released


Exact duration of performance


Composer of music and Author of text (if any)


Format of Recording (CD, Cassette, etc.)


No. of copies to be manufactured


Country of Manufacture


In what countries will they be distributed (Name of countries or Worldwide)


Record Co.


Title of Album


Recording Artist


Record Catalog No.


Release Date


Name and Title of Contact Person


Name of Company or Organization


Full street address


Telephone No.


Fax No.


E-mail Address


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