Sync Request Form First Name: Last Name: Email: Company: Street: City: State/Province: Zip: Country: Phone: Song Title: Artist: Name of Your Project: Project Description: Where will the project be exhibited? Territory: Term: Initial Airdate of Project: How many times will the song be used in the project? Scene Description: Type of Use: (Select all that apply by holding down the CTRL key) Background vocal Background Instrumental Visual Vocal Visual Instrumental Main Titles End Credits Duration/Timing of Use of Song: Project Budget: Music Budget: Will There be Paid Online Media? Any Other Info We Should Know?