STATISTICAL SURVEY FORM- ANNUAL MUSIC COPY LICENSE
NOTE: This form is to be completed by the license holder and returned to Word Of Life International at the end of the license period. Word Of Life International reserves the right to inspect the records of the license holder should they fail to return this form. If overheads, or other forms of visual projection are used for your congregation to view PLEASE DO NOT LIST THE COPYRIGHT USE ON THIS FORM. This survey form is for MUSIC copyright use only, for congregational use please use Annual Restricted Copyright License survey form. All full music copied or copied material that was reused during the license period must be included on this form, with total quantities shown. You are required to distinguish between actual photocopying and transcription (reproduction by hand, typing etc), if an actual photocopy is made please TICK where requested. You will have to list the publisher of the songbook/hymn book photocopied from in the publisher column.
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TITLE |
COMPOSER |
PUBLISHER |
TICK |
COPIES |
|
Here I Am Lord(Example Only) |
Dan Schutte |
OCP |
YES |
2 X 20=40 |
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NAME OF LICENSE HOLDER
ADDRESS
LICENSE NUMBER EXPIRY DATE