Application Request Form

Membership Application Request Form

If you have performed on a song that has received airplay, fill out the form below and our team will notify you if you are elligible for membership.

* Name

* Artist Name

Aliases

* E-mail

Tel

Top 5 Song titles which have received Airplay

* Song

Song 2

Song 3

Song 4

Song 5

* Record Label

* Year of Release

Country of Release

Country of Airplay

Are you a Featured Performer (band member) or Non Featured Performer (session player):

Are you currently a member of any Neighboring Rights Society:

* Confirm your identity