Complete the following information and we will mail you the appropriate SESAC
Performance License Agreement:

Name of Establishment:


Establishment Address

Street:

City:

State:

 Zip:

Contact Person:

Title:

Phone Number:

E-mail address:


Mail To Address if Different

Street: 

City:

  State:

  Zip:


Type of Establishment:

Bowling Center

Number of Lanes:



Concert Promoter

Country Club

Number of Full Time, Part Time and Associate Members:

 

Dance School


 

Festival

Number of Days:

Music Oriented?

Yes  No  

 

Health and Fitness Center 

 

Hotel, Motel and Resort

Number of Rooms:

Average Room Rate:

Live Music?

Yes No   

 Recorded Music?

 Yes No  

In Room Pay Per View Movies?

Yes  No

Meeting Rooms/Banquet Facility?

Yes No  

 

Internet/New Media

Average Number of monthly Page Requests:

Paid Advertising on Web Site?

Yes  No  

 

Music In Business

Number of Employees:

 

Restaurant, Nightclub and Tavern

Establishment Capacity:

Mechanical Music?

 Yes  No  

Dancing?

 Yes No

Admission or similar charge?

 Yes No   

Live Music? 

 Yes No  

(if yes, number of days per week):

 

Retail Store

Gross square Footage:

 

Shopping Center/Mall

Gross Leaseable Area:

 

Skating Rink

Number of Months Open:

Days/Nights Open:

 

Stadium, Arena and Convention Center

 Maximum Seating Capacity:

 

Theme, Amusement and Water Park

Annual Attendance:

Other (please describe music use and type of business):