SAMPLE FORM
load a PDF version of this form
(Please submit a separate form for each sample used)
Please include the following material:
- a CD or MP3 of the new song
- a CD or MP3 of the sampled song
- a lyric sheet
*DMG is capable of setting up our clients with secure identification
and passwords for uploading mp3's to our site. Please email
mp3request@dmgclearances.com for a request to be set up.
*Artist:
Producer(s):
*New Song Title:
New Writer / Publisher / Share Information:
(Not required if you are submitting a Diamond Song Services Song Split Form)
New Writer(s)
Real / Full Names |
Publisher(s) |
ASCAP
BMI
SESAC |
Splits % |
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
*Sampled Song:
*Sampled Artist:
Sampled LP:
*Sampled Record Label: _______________________________________
*Nature of Sample (i.e. Instrumental, Vocal, etc.):
Length of Sample:
Location of Sample:
Publisher(s) / PRO:
Composer (s):
*Was the sample replayed? Yes or No (please circle one)
New Record Label / Distributor:
* most important information needed to clear the sample
dmg,
inc.
(302) 239-6337; (302) 239-6875 (fax)
|
