SESAC CONCERT REPORT FORM - 2007

Licensee:
Person Completing Form:
Phone Number:

 

Report Period
   From:   2007
To:   2007
SESAC Account Number: 27 - -

 

Date Of Concert

(A)

 Venue

(B)

 Act/Performer

(C)

 If more than 500 enter actual amount

(D)

 If 500 or Less enter $6.01

(E)
1
2
3
4
5
6
7
8
9
10
  Total Column D  
  Per Ticket Sold Fee   X  .0121  
  I.  (total column D x .0121)  
  II.  (total column E)  
 

SESAC License Fee Add I. and II. $