Consultation Questionnaire

Full Name*

Please give your full name as it appears on your official ID

Stage Name

Please list any stage names or pseudonyms you perform under. If you have multiple stage names list each separated by a comma.

Email*

Topic(s) you wish to discuss*

Please give a brief outline of what areas you would like to discuss

Have you previously contributed to or released any music commercially?

Yes
No

Discography*

Please list the most notable releases you have contributed to, click the plus symbol to add more.

Artist Name	Song Title	Release Date	Label

Preferred consultation method*

Please indicate your preffered method of communication. Please note that all free sessions are via video or voice call.

Phone Number*

Please provide the phone number you wish to be contacted on including the international country code.

Skype Name*

WhatsApp Number*

Please provide the phone number you wish to be contacted on including the international country code.

Location for meeting*

Additional Information

Please give as much additional information as possible. We will do some preliminary searches prior to the consultation, the more information we have in advance the more time we can spend discussing the topic(s) you have identified.

Neighbouring Rights Organisation Member

Are you are a member of any Neighbouring Rights Organisations, such as PPL, SoundExchange, GVL etc?

Yes
No
Not Sure

Website

Performing Rights Organisation Member

Are you are a member of any Performing Rights Organisations, such as PRS, APRA, ASCAP, BMI etc?

Yes
No
Not Sure

P.R.O Membership

Name of Society/Organisation

P.R.O Member ID

Neighbouring Rights Membership

Name of Society/Organisation

Recording Rights Holder

Do you own your own recordings (master rights)?

Yes
No

Do you have a publishing deal?

Yes
No

Name of publisher

Other Information

Please give any other information you think may be useful

In what capacity are you completing this form?*

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Name

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