Permission Request Form

AttentionPlank Road Publishing will be closed for the holidays from 12:30 p.m. CST Friday, December 20, 2024, through Wednesday, January 1, 2025. If you contact us during those dates, you will not receive a response from us until after we return on Thursday, January 2, 2025. We wish you happy, healthy, joyful holidays!

Use this form to request permission for special use of our music.

Fields in red with a * are required.

*Your name:
*Your e-mail:
*Would you like a copy of this request sent to the above e-mail address?
 Yes     No
*Your organization's name:
*Your organization's street address:
*Your organization's city:
*Your organization's state/province:
*Your organization's Zip:
Date of performance or event (if applicable):
   
*Select the category that best fits the type of request you are making:
If applicable, estimate the number of CDs/DVDs/videos to be made:
If applicable, price to be asked per CD/DVD/video:
*Briefly describe exactly what you are asking permission to do:
*Include the exact title of any Plank Road Publishing song you wish to use:

Please contact the publisher and not the distributor for permissions. We can only grant permission on Plank Road Publishing products.

*Indicate if the project is nonprofit or for profit:

Non-profit, i.e., a fund-raiser for your organization, OR Profit, i.e., a CD or other media which will be sold to the general public

Project is non-profit

Project is for profit

*Please indicate where the proceeds will go:

Organization's music program

Organization

Charity: Specify:

Self

Other: Specify:

None (check this if no profits are involved)

 
 

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