SONGWRITERS CAFE – Request Music For Licensing & Publishing Form MUSIC REQUEST FOR LICENSING AND/OR PUBLISHING Looking for music? Independent Artists? Unpublished new music? Pitch your requests to Record Labels, Independent Songwriters, Composers Worldwide.Fields marked with an asterisk (*) are mandatory. * Music Request Description: Project name: Company: Label/Producer/A & R: Music supervisor: Songwriters: * Contact person: Position/Title: * Phone: Fax: Address: * E-mail: Website : State/Province: * Country: How you wish to be contacted? E-Mail Phone Mail Full CD and Press Kit Purpose of review: Motion Picture Independent Film A & R/ Recording Artist Advertising – Television Advertising – Radio TV/Film Placement Student Productions Internet Music Video/Games Music CD Other * Your minimum budget: * Your maximum budget: Use in film: Background Feature Opening Theme Closing Theme Deadline date needed: Start date: Licence Territory: Worldwide US Only Canada Only US & Canada Other Countries Additional comments: White Eagle Music Promotions is a division of White Eagle Records Limited