MorningStar Music Publishers

Permission Request Form

Copyright Request Information

Request Date
Request Type	Permission Request/Reprint
Title of Publication
Composer/Author
Catalogue Number (MSM-00-0000)
One-Time Use ($10), Year-long ($25), or Lifetime ($40)?	One-Time Use Year-Long Lifetime
Words only? Music only? Or both Words and Music?	Words Only Music Only Words and Music
Date of Use
Name of Licensee (organization, group, church, person)
Contact Person
Email Address
Phone Number
Street Address
City
State
Zip Code

Comments

Type the text in the field below exactly as it appears in the image above.