Composer Information

Are you a composer and/or arranger?*

Yes
No

Do you receive royalties for someone other than yourself?*

Yes
No

Please provide their name and the reason you receive their royalties.*

Your Name*

First Last

Your Pronouns*

Your Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is your mailing address different?*

Yes
No

Your Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Date of Birth*

2 digit month, 2 digit day, 4 digit year

What catalogue(s) represents your music?*

Excelcia Music Publishing
Wingert-Jones Publications
RBC Publications
Kendor Music Publishing

What genre(s) do you write for?*

Choral
String Orchestra
Concert Band
Jazz Band

Are you an ASCAP or BMI member?*

ASCAP
BMI
Other
None

ASCAP IPI number (found on ASCAP website, top of page when you log in)*

Your Society and Identifying number*

BMI number*

Short Bio:*

Three sentences about your music and why it is different/special.*

Your Professional Facebook page (share link or handle):

If you don't have a professional page, would you like us to tag/link to your personal Facebook page when promoting you/your music and list it on our website?

Yes
No

If yes, please link your personal Facebook account:

Your Professional Instagram account:

If you don't have a professional Instagram, would you like us to tag/link to your personal account when promoting you/your music and list it on our website?

Yes
No

If yes, please link your personal Instagram account:

Your Professional TikTok account:

If you don't have a professional TikTok, would you like us to tag/link to your personal account when promoting you/your music and list it on our website?

Yes
No

If yes, please link your personal TikTok account:

Professional page/account on YouTube, Snapchat, etc?

Your professional music website:

Hobbies outside of composing:*

Would you consider providing us with blog or video content?*

Yes
No

If yes, what ideas do you have for a blog or video?

Please upload a high-resolution portrait (headshot) of yourself.*

Max. file size: 64 MB.

The picture should not include any other persons and should be of good quality, HIGH-RESOULTION (300dpi preferred). Max file size is 64MB. This image will be used on your publication covers and composer bio page, and may be used in printed promotions, digital advertising and on our website(s). See examples below.