Inquiry Form for Out-of-Print Music
INSTRUCTIONS:
This form is
to be prepared in duplicate. After completing the section below and signing both
copies where indicated, forward them to the publisher who will complete the
form and return it to you. If the publisher indicates a payment for the right
you request, and if the conditions are agreeable to you, remit the amount to
the publisher together with the original copy, which he will have signed,
whereupon the agreement will be completed.
To:
__________________________ [Name of Publisher]
Address:
I (We) wish
to procure __________ copies of your copyrighted publication:
_______________________________________________________
[Title]
_______________________________________________________
[Arrangement]
by: ____________________________________________________.
[Composer]
If it is in
print: Please indicate the price per copy here: $________________
If it is out
of print: Do you have plans to reprint it? _______________________
If so, when?
_______________________________________
At what
price per copy? $_____________________________
If there are
no plans for reprinting, I (we) request your permission to have a nonexclusive right
to reproduce by photocopy ________________ copies for use by my (our) (students,
members, congregation, etc.)
The copies
will be identical to your publication including the copyright notice. The following
will be legibly included on the first page of each copy of our reproduction:
"This
reproduction is made with the express consent of __________________________
[Copyright
Owner’s Name] in accordance with the provisions of the United States Copyright
Law.
"I (We)
acknowledge that I (we) am granted no right to sell, loan, or otherwise
distribute reproduced copies of the publication other than for the use set down
above. No other rights of any kind for any other use are included in this
permission.
If
permission to make copies can be granted, will you charge a fee?
_________________
If so, how
much? ________________
If you do
not grant the above permission, will you supply me (us) with photocopies?
________________
If so, at
what price per copy? $ ________________
By:
Accepted and
Agreed to:
Address:
Date: