Adaption/Arrangements/Translations Type:*AdaptionArrangementTranslationStraight cover Contact information Applicant name* Applicant address* Applicant zipcode* Applicant city* Applicant state/country* Applicant phone* Applicant email* Adaptor/ Arranger / Translator details (tick box when different from above) Adaptor/ Arranger / Translator name* Adaptor/ Arranger / Translator address* Adaptor/ Arranger / Translator zipcode* Adaptor/ Arranger / Translator city* Adaptor/ Arranger / Translator state/country* Collecting society member*YesNo When Yes, which collecting society Sync information Original artist* Original song title* Writer(s)/Composer(s)* Publisher(s)* Work recording*OriginalCover Sync usage Do you claim a share of the copyrights in the new work? (Not guaranteed)*YesNo Have you obtained approval from the other interested parties of the original work?*YesNo New artist name* New song title* New song language* New lyrics*(valid file types: doc | txt | docx | pdf | jpg | jpeg | png | gif | mp3) New song writer splits* Album/single title* Record label* Release date: Territories of release: Remarks * required field