Attention: Record Labels, Artists, Television networks/shows or any individual or company that plans to use Paul Overstreet's music:

Please fill out the following LICENSE REQUEST FORM to obtain permission to use Paul's music. All requests will be submitted to Andi Miller Smith and Mark Weiss at the publishing company for approval. Please fill out the form below and it will be sent directly to the appropriate persons. Allow 2 weeks for processing and a license will be mailed/e-mailed to you with appropriate payment due.

Should your request be urgent, please go ahead and fill out the form, but note your release deadline. For further questions, e-mail Andi@pauloverstreet.com.

LICENSE REQUEST FORM

Name of Company Requesting:
Contact Name:
Contact E-mail:
Contact Title:
Street/Mailing Address:
City:
State:	Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
ZIP:
Telephone (incl. area code):
Fax:
Song Title(s) requested for use:
Type of License:	Synchronization Mechanical DPD Karaoke Other
Writers:	Paul Overstreet: % %
Publishers:	Scarlet Moon Music, Inc: % %
Your artist's name as printed on license:
Project Title (name of album or project):
Record #:
Record Label (if any):
Release Date:
Number of Units (estimate if unknown):
Territory of Distribution (US, Europe, etc..):
Additional Information (optional):