LICENSE APPLICATION

Banks, Offices & Industrial Premises Licence

SCOPE OF TARIFF: (1) This tariff applies to background performances of music in offices, banks, and other similar premises. (2) Excluded from this tariff are background performances of music in waiting rooms in doctors’ and dentists’ offices, hairdressing salons and barber shops. To such premises the appropriate tariff – usually “WA” should be applied. (3) 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 *

Business Details

VAT Registration No * Company name * Please use CAPITAL LETTERS

Additional Information

No. of employees to whom music will be audible at their work stations * Estimated no. of weeks on which performances will take place during the year * Area/square footage where music will be audible to members of the 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 * Please use CAPITAL LETTERS Applicant full postal address * Please use CAPITAL LETTERS Email Address * Telephone No. *

I apply for this license.

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

I hereby agree and certify that the information provided is accurate

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Banks, Offices & Industrial Premises Licence

Facility Information

Business Details

Additional Information

Ownership Details

Main

About

Repertoire

Membership