ESPY MUSIC GROUP
BOB A LEW MUSIC
LICENSE REQUEST FORM
PO Box 869
Cedar Creek, Texas 78612
Ph: 512 308-1593
Fax: 512 308-0920

Please use this form to request a mechanical (audio recording), synchronization (film/commercial/television), or print (sheet/folio/reprint) license for a title administered by Espy Music Group. 

IF YOU DO NOT HEAR FROM US WITHIN 48 HOURS, PLEASE SUBMIT YOUR INFORMATION VIA FAX OR EMAIL. IT MEANS THE SUBMISSION FAILED.

First Name:*
Last Name:*
Company:*
Address:*
Address 2:
City:*
State:*
Zip Code:*
E-Mail:*
Phone Number:
Use:*
Name of Project (CD, Film, etc.):*
Approximate Date of Release:*
Song(s) to be used:*
Band/Artist Name:* (performing on this release)
Catalog # (if applicable):
# of units to be pressed (if applicable):
Comments:

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