Sync Form - The Halluci Nation

Synchronization Request Form

If you would like to request usage of The Halluci Nation’s music in your video project, please fill out the synchronization request form below. All requests will be answered. Please don’t email your request directly, and use the form.

All fields marked with a * are mandatory

Name *

Email Address *

Title Of Project *

Date Of First Exhibition *

Type Of Project *

Director *

Title Of Requested Tracks *

Use *

Length Of Contract *

Territories *

Type Of Media *

Project Budget *

Sync / Music Budget *

Budget Of Particular Track *

Duration Of Track Usage *

Project Synopsis *

Are these terms MFN?
Is your licensing budget for The Halluci Nation's music, equal to the budget for all other individual musical works (if any) that appear in your production?

Production Company *

Street *

City *

Country *

Province/State

Postal Code *

Tax Number

Signee Of Contract

General Notes