Publisher

Publisher Membership Agreement

Instructions

Please attach a copy of your ID / Passport to the completed application form (in case of sole proprietor)
Please attach ID / Passport copies of all signatories, directors or members if more than one.
Please attach a copy of your company registration documents.
Please attach a copy of your Composer/Publisher agreement.

1PART A

2PART B

3PART C

4PART D

Part A – Business Details

Company Details
Registered Trade Name*
Trading As / Pseudonyms

NB! No special characters allowed (e.g * , “ : < = >).
Legal Form*
Registration Number*
Foundation Date*
Place*
VAT Number
Business Address
Country / Region*
Business Address*

Address Line 1
Business Address Line 2

Address Line 2
City / Town*
Suburb*