LICENSE APPLICATION

Hotels, Guest Houses & Inns Licence

SCOPE OF TARIFF: 1.1 This tariff applies to performances of background music in restaurants, fast food outlets, lounges, bars, and similar premises. 1.2 This tariff applies to the copyright in the musical works of composers, authors, and publishers.

Select License Type

Full Name

Phone Number

Postal/Mailing Address Organization Name (if applicable)

Purpose / Justification

Facility Information

Name of premises * Full postal address * Date when musical performances began or will begin * Does the premises open for only a season of the year? *

Yes No

Season starting date If seasonal operation, provide start date Season ending date If seasonal operation, provide end date Number of bedrooms with Terrestrial TV and/or video player Number of bedrooms with Cable/Satellite TV Number of bedrooms with Record and/or tape player Number of bedrooms with TV/video plus record/tape player

Business Details

VAT Registration No * Company name *

Additional Information

Details of sessions (Concerts, cabaret, variety, dances, karaoke, discotheques) Describe the types of entertainment sessions Room or area for concerts/entertainment Estimated number of events to be held Estimated admission receipts Estimated expenditure on musicians Room capacity Floor area (sq. feet) Number of days for single instrumentalist performances Outdoor venue, not more than 2 hours daily Estimated expenditure for instrumentalist Do you have aerobic and keep-fit classes?

Yes No

Fitness center area/square footage Estimated number of dance school/studio events Dance school/studio area (sq. feet) Estimated number of dance club events Dance club area (sq. feet) Rooms where performances take place at exhibitions/trade fairs List rooms where music performances occur Estimated number of days for exhibitions Number of relay points Background music room descriptions and details List each room (lounge, restaurant, bar, dining room) with seating capacity and equipment types Area where music will be audible (shops/stores/casinos) Describe the area Floor area over which music will be audible (sq. ft.) Means by which music will be performed List number and type of instruments No. of employees to whom music will be audible at work stations Estimated no. of weeks performances will take place during the year Area where music will be audible to public (sq. ft) Do you use a music-on-hold facility on your switchboard? *

Yes No

Music-on-hold supplier name If yes to music-on-hold Number of external lines on switchboard

Ownership Details

Function of applicant * e.g., Proprietor, Director, Financial Controller Applicant name * Applicant full postal address * Email Address * Telephone No. *

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I understand that this application will be reviewed and that the information provided is accurate.

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Hotels, Guest Houses & Inns Licence

Facility Information

Business Details

Additional Information

Ownership Details

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