SONGWRITERS CAFE – ADD MUSIC FORM WORLDWIDE MUSIC CATALOGUE FOR LICENSING & PUBLISHING FILM, TELEVISION, ADVERTISING, A & R, RECORDING & WORLDWIDE WEB SONGWRITERS CAFE MUSIC SUBMISSION FORM: PLACE SONGS IN THE ONLINE DIGITAL CATALOGUE Fields marked with an asterisk (*) are mandatory. Song Title: Composer/Songwriters: Record Label: Publisher: Performing Rights: SOCAN ASCAP BMI Length of Song: Music Genres: Mood: Subject: Tempo: Lyrics: Music MP3 Upload: We will contact you, if you wish to submit more than one song. Send CD in Mail Contact Person: Phone Number: E-Mail: Web Site : Address: State/Province: Country: Additional Comments: SONG PLACEMENT FEE: $50 per song For submissions from Canada 5% GST is applied. Number of songs: 1 2 3 4 5 6 7 8 9 10 TOTAL: * PAYMENT METHODS: VISA MASTERCARD AMEX PAYPAL MONEY ORDER * CARDHOLDER’S NAME: * CREDIT CARD NUMBER: EXPIRY DATE: 01 02 03 04 05 06 07 08 09 10 11 12 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 I’ve read and agree to the terms of Songwriters Cafe Promotion Agreement.