Additional Writer/Publisher Information (PRO)

Please ensure you click “Submit” after entering the information for each Writer/Publisher.

Writer Name *Please list your full legal name. Middle name is optional.
With which PRO is the Writer affiliated? *
ASCAPBMISESAC
What is the Writer's PRO member number? *
Please list the Writer's Social Security Number or Federal Tax ID (EIN #). *
If the Writer has a professional name, please list that name here.
Please list the Writer's Complete Physical Address. *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Please list the Writer's Telephone Number. *
Please list the Writer's E-Mail Address. *
Please list the Writer's Percentage of Ownership Share of the Composition. *NOTE: The percentage shares of all Writer's and Publishers MUST add up to 100%.
Please choose one of the following regarding the Writer's contribution to the work. *
Composer: The Writer is the creator or one of the creators of ONLY the musical elements of a musical work.Author: The Writer is a creator or one of the creators of ONLY the text of a musical work.Composer/Author: The Writer is the creator or one of the creators of BOTH text and musical elements in a musical work.

Please list the name of the Writer’s publishing company. *
With which PRO is the Writer’s publishing company affiliated? *
This must be the same PRO as the Writer’s affiliation.ASCAPBMISESAC
Please list the member number of the Publisher. *
Please list the Social Security Number or Federal Tax ID (EIN #) of the Publisher. *
Text
Please list the Complete Physical Address of the Publisher. *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Please list the Telephone Number of the Publisher. *
Please list the E-Mail Address of the Publisher. *
Please list the Website URL of the Publisher (if applicable).
Please list the Publisher's Percentage of Ownership or Administration Share. *NOTE: The percentage shares of all Writer's and Publishers MUST add up to 100%.

Writer Name *Please list your full legal name. Middle name is optional.
With which PRO is the Writer affiliated? *
ASCAPBMISESAC
What is the Writer's PRO member number? *
Please list the Writer's Social Security Number or Federal Tax ID (EIN #). *
If the Writer has a professional name, please list that name here.
Please list the Writer's Complete Physical Address. *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Please list the Writer's Telephone Number. *
Please list the Writer's E-Mail Address. *
Please list the Writer's Percentage of Ownership Share of the Composition. *NOTE: The percentage shares of all Writer's and Publishers MUST add up to 100%.
Please choose one of the following regarding the Writer's contribution to the work. *
Composer: The Writer is the creator or one of the creators of ONLY the musical elements of a musical work.Author: The Writer is a creator or one of the creators of ONLY the text of a musical work.Composer/Author: The Writer is the creator or one of the creators of BOTH text and musical elements in a musical work.

Please list the name of the Writer’s publishing company. *
With which PRO is the Writer’s publishing company affiliated? *
This must be the same PRO as the Writer’s affiliation.ASCAPBMISESAC
Please list the member number of the Publisher. *
Please list the Social Security Number or Federal Tax ID (EIN #) of the Publisher. *
Text
Please list the Complete Physical Address of the Publisher. *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Please list the Telephone Number of the Publisher. *
Please list the E-Mail Address of the Publisher. *
Please list the Website URL of the Publisher (if applicable).
Please list the Publisher's Percentage of Ownership or Administration Share. *NOTE: The percentage shares of all Writer's and Publishers MUST add up to 100%.

Writer Name *Please list your full legal name. Middle name is optional.
With which PRO is the Writer affiliated? *
ASCAPBMISESAC
What is the Writer's PRO member number? *
Please list the Writer's Social Security Number or Federal Tax ID (EIN #). *
If the Writer has a professional name, please list that name here.
Please list the Writer's Complete Physical Address. *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Please list the Writer's Telephone Number. *
Please list the Writer's E-Mail Address. *
Please list the Writer's Percentage of Ownership Share of the Composition. *NOTE: The percentage shares of all Writer's and Publishers MUST add up to 100%.
Please choose one of the following regarding the Writer's contribution to the work. *
Composer: The Writer is the creator or one of the creators of ONLY the musical elements of a musical work.Author: The Writer is a creator or one of the creators of ONLY the text of a musical work.Composer/Author: The Writer is the creator or one of the creators of BOTH text and musical elements in a musical work.

Please list the name of the Writer’s publishing company. *
With which PRO is the Writer’s publishing company affiliated? *
This must be the same PRO as the Writer’s affiliation.ASCAPBMISESAC
Please list the member number of the Publisher. *
Please list the Social Security Number or Federal Tax ID (EIN #) of the Publisher. *
Text
Please list the Complete Physical Address of the Publisher. *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Please list the Telephone Number of the Publisher. *
Please list the E-Mail Address of the Publisher. *
Please list the Website URL of the Publisher (if applicable).
Please list the Publisher's Percentage of Ownership or Administration Share. *NOTE: The percentage shares of all Writer's and Publishers MUST add up to 100%.