What is the current statutory mechanical
rate and how is it calculated?
Enter the song title you wish to license
1.  Configurations
 2.  Total Copies of Recording
WHAT CONFIGURATION(S)? Please check all that apply.
 HOW MANY TOTAL COPIES OF THE RECORDINGS WILL
YOU MAKE (ALL FORMATS TOGETHER)?
Compact Disc
e.g. 500 CDs, 500 Cassettes, and 500 LPs and
1500 Recordings.).
*
Cassette
Vinyl
HOW MANY DOWNLOADS (PER SONG) DO YOU
EXPECT TO DISTRIBUTE IN THE NEXT 12 MONTHS?
DPD (Digital
Phonerecord Delivery,
aka Permanent
Download)
Must be at least 25
*
There is a minimum requirement of 500 total units
3.  Release Information
*
Album Title/ Product Name - The title of your album
Label/Organization - The name of organization distributing the album
*
Anticipated Release Date - The date of the first distribution of your recording
 MM/DD/YEAR
If applicable, please supply UPC (bar code) and Product number information
Compact Disc (CD) UPC #
Record/Product Number
WHAT ARE THE NAMES OF THE WEBSITES THAT WILL BE OFFERING YOUR DPDS (Digital Phonerecord Delivery, aka
Permanent Download), IF KNOWN? PLEASE SEPARATE EACH SITE WITH A COMMA. (if unknown - just say unknown)
WHAT ARE THE ADDRESSES (URLs) FOR ANY SITES NAMED IN THE PREVIOUS ANSWER? PLEASE SEPARATE EACH WEB
ADDRESS WITH A COMMA. (if unknown the put "unknown")
Song Title
Play Time (can be
estimated)
Artists Performing this new recording
ISRC - International
Standard Recording Code
*
*
eg. 4:35
4.  Licensee Information
Please edit the information below as necessary. The Licensee should be the label or organization (or individual) who will be
distributing the recordings.
Street Address 1
*
Licensee Name
 *
Street Address 2
Contact First Name
*
*
City
Contact Last Name
*
*
State
Company/Organization Name
*
*
 Zip
Email Address to send
license and invoice
Phone Number
 *
_____________________________________________________________________________________________________________________

Please review the sample FCMG  license link below. The sample license sets forth the licensing terms that will govern the license requested by you. In
order to complete your licensing request, you must agree to these terms by selecting "Accept" below the sample license  (If you choose "Decline,"
you will not be able to proceed with the transaction.)
_____________________________________________________________________________________________________________________
Write "I accept" here
 Write "I decline" here
Mechanical License Sample Form
*
Accept
 Decline
Click here to submit your request for Mechanical License to record.
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F u l l  C i r c l e  M u s i c  G r o u p
Mechanical licenses are required under U.S. Copyright Law if you want to record or distribute a song that you do not own. By properly licensing your
recordings, you ensure that the publisher that represents the songwriter  or the self-publishing songwriter who wrote the composition gets paid.
Reputable replicators and online music sites will require you to have these licenses before they duplicate your recording or offer it online.
Mechanical License
Mechanical License
After reviewing you request for Mechanical License to record, the license and an invoice for the Mechanical Royalty Fee will be sent to your
email address.  If you have any questions or concern, please email us
*
Indicates a required field
Mechanical License Department
This electronic Mechanical License Request Form Agreement encompasses both physical product ((CD, Cassette, or Vinyl LP)
AND DPD (Digital Phonerecord Delivery, aka Permanent Download)   Please fill in all the numbered blocks completely.  A
seperate request form must be completed for each song.