STEP 1:

Name *

First Name

Last Name

Mobile/Cell *

Country

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you ever been a member of an organization that gives you performance rights around the world? Are you currently? *

Yes

No

Will you be excluding any countries from the overall territory where rights are granted? *

Yes

No

Are you currently with a music publisher or publishing business? *

Yes

No

I have read and agree to the terms set out in the PRO's (either ASCAP membership contract or BMI membership contract ) membership contract and I hereby appoint Songtrust (an affiliate of BreakONE Records | Distribution | Publishing ) as my agent for the purpose of preparing, reviewing and submitting my membership application to the PRO I've chosen. *

Yes, I agree

If You are registering under IMRO: I have read and agree to the terms described in IMRO writer member application for and I appoint Songtrust (an affiliate of BreakONE Records | Distribution | Publishing ) as my agent for the purpose of preparing, reviewing and submitting my membership application to the PRO I’ve chosen. *

Yes, I agree to IMRO's writer member application.

No, I am not an IMRO writer

Name *

First Name

Last Name