Licence pour une reproduction

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Name and Address of the Licensee

Publisher/Licensee

Contact Person/Department

Street and House Number

Postal Code

City

Country

Phone

Fax

E-Mail

Information about the Used Work

Title, Composer, Publisher

Edition Title, Publisher Number

Page Number (Quote, Measures etc.)

Use of Engravings

Purpose of Use

Title of Publication

Type of Publication (Songbook, Collection, Magazine, Program, Dissertation, CD Booklet etc.)

Published by Publisher

Publisher Address

Distribution Area

Publication Date

Retail Price

Edition Size

Total Number of Pages

Number of Works

By submitting your request, you do not yet have any claim to granting of reprint permission. Our offer for granting a reprint license will be sent to you as soon as possible.

I hereby confirm that I am at least 16 years old.

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Name and Address of the Licensee

Information about the Used Work

Purpose of Use

Allemagne

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Name and Address of the Licensee

Information about the Used Work

Purpose of Use

Allemagne