Notification of non-commercial use of a work

First and last name:*

Date of birth:*

IPI number:*

Email:*

Phone number:*

Adress:*

Street address City/town Postal code Country

The non-commercial use event for which I grant a licence. Please be as specific as possible about the use event:*

Name of the recipient of the licence for non-commercial use/music user:*

Business ID of the recipient of the licence for non-commercial use/music user:

Leave empty if the licence recipient does not have a business ID.

Date, duration or other specification of the use event:*

Intended use of the music in the use event (e.g. "live gig"):*

Works included in the notification:*

Enter the work number and title of each work in its own field. Click the plus symbol to display more fields.

Work number:	Title of work:

Restriction concerning the notification

We reserve the right not to process a notification concerning a joint work if not all of the authors of the work in question agree to grant a licence for the non-commercial use of the work.

Assurance

I assure that a) I have not received and will not receive any direct or indirect compensation for the licence for non-commercial use granted by me for the joint works, b) I have notified the other authors of each joint work that their permission is also required for the non-commercial use of the work, c) in the case of published works, I have notified each publisher of my intention to grant a licence for the non-commercial use of the work(s) in question, d) I have notified the recipient of the licence for non-commercial use granted by me that the licence only applies to the works and the use event mentioned in this notification.

Non-commercial use of work(s)

Granting a licence for non-commercial use of a work:*

I have read the above assurance and the additional information on the licence for non-commercial use on Teosto’s website and understand what a licence for non-commercial use means. I assure that the information I have provided is correct.*

Yes

Phone

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Haku

Haku