Apply - Symphonic Referral Landing Page Do you require any specific accessibility accommodations for sight, hearing, or communication?Choose OneSightHearingCommunicationNone*We ask this question to ensure we can accommodate any health conditions or impairments in order to deliver the best possible experience for you.Name* First Last Email* Phone*Include area code for numbers in the U.S. and country code for international numbers.Date of Birth (MM/DD/YYYY)* MM slash DD slash YYYY Stage Name / AliasAre you a US Citizen?Choose OneYesNoPreferred LanguageChoose OneEnglishSpanishAddress* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What are your Annual Royalties?*Choose One$3,500 or less$3,501 – $10,000$10,001 – $25,000$25,001 – $100,000$100,000 or moreIs there a specific Sound Royalties representative you want to work with?How did you hear about us?*If referred, by whom?Certification & Authorization to Release InformationBy initialing electronically below, you certify that you are authorized to make this application and that to the best of your knowledge that you believe all the information contained in this application and in the accompanying statements and documents is true, complete, and correct. You are also authorizing Sound Royalties and its affiliate companies and agents to communicate directly to you via text messages, e-mail, facsimile, and telephone to each phone number I provide, to log on to your PRO account(s) and to request and receive any and all information it deems necessary without further notice including credit history, account information and earnings history from any and all sources. You further authorize Sound Royalties to share the information and documents you provide to potential investors and lending institutions.Type your initials to agree*CAPTCHA
