DVD & CD-ROM Intellectual Property Rights

APP-105-13 dated 04/18/12

DVD & CD-ROM Intellectual Property Rights (IPR) Form
Go to CD/Enhanced Audio IPR Form »

Select Account Manager*
Sales Manager
Customer Information
Customer Name*
Company/Label Name
Phone Number*
Artist/Band Name*
Email Address*
Album/Project Title*
Distribution Information
How Do You Plan To Distribute Your Discs
- Within an organization
- Retail
- Free
- Other
Where You Plan To Distribute Your Discs
- United States
- Canada
- Other
Project Information
Please select project type
- CD-ROM
- DVD-ROM
- DVD-Video
CD-ROM /DVD-ROM/USB Content Information

If your project contains any software, freeware and shareware products please list them in the area below if applicable. Please submit licensing for all non-owed software. Some shareware and freeware products require distribution licensing. Consult the software vendor for what is necessary.
Project Rights*
- I understand that if I am not the owner of all the intellectual property rights for the entire contents on this disc, to include the music synched with the video and any supplied artwork, I am required to purchase licensing from the owner or owners of the intellectual property rights of the content. This includes any sampled recordings regardless of type, quantity, and length.
- Letters of Indemnity are NOT adequate
- LICENSED content requires proof of licensing prior to replication
- OWNED content indicates that the individual/organization completing this form is the IPR owner
- Must be completed by the organization soliciting replication and not by a broker or intermediary

DVD Video Information

Track Title/Name	Artist/Music Publisher Library	Own	Licensed (Cover Songs)	Public Domain

If your DVD Video project, if applicable, has any music playing as background music or is being performed and sung by people in the video (synchronized with the video) please fill out the below information in the order the music is heard in the video. Synchronization Licensing is REQUIRED for any music synched into your video production. If authoring studio is using music from a purchased music publisher's library list the information below.
I affirm that all information provided herein is true and that all disc contents indicated as being licensed are properly licensed for replication under the terms of the original rights holder with proof of such licensing and/or trademark authorization attached. I affirm that I am the intellectual property rights owner for all contents indicated as being owned and approve of replication.
User Agreement*
- I have read and agree to the terms above. By checking this box, I am certifying that I am authorized to sign this agreement. I affirm that my agreement here constitutes an electronic signature and that this signature meets any and all requirements for an original signature and is legally binding in all respects.

Customer Information