For Licensing And Further Information:
Call...Jerry Ross at 215-676-7377 or email at Imreps@aol.com

Or fill out this request form for a Mechanical or Master License:

   
First Name:
Last Name:
Phone Number:
Email Address:
Company Name:
 
The Type of media the song will be used for:
Title of media:
Description of Media:
   
Composition/Song Title:
Artist:
Master Recording:

Sync License and/or mechanical :
(to publisher)
Territory:

Distribution:
(Hold down the shift key to select more then one)
 
Advance Proposal:
Royalty Proposal:
Shipping or Release Date:
Suggested Retail of CD: