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LICENSE APPLICATION

Clubs & Discos Licence

SCOPE OF TARIFF: (1) This tariff applies to performances of music (including karaoke performances) whether live or recorded means in nightclubs, clubs, discotheques, or other establishments operating in a comparable manner including coastal vessels, for performance by the proprietors of the premises. (2) This tariff applies to the copyright in the musical works of composers, authors, and publishers.

Select License Type

Full Name

Email

Phone Number

Postal/Mailing Address Organization Name (if applicable)

Purpose / Justification

Facility Information

Name of premises * Full postal address * Date when musical performances began or will begin * Will the premises open for only a season of the year? *

Yes No

Season starting date If seasonal operation Season finishing date If seasonal operation

Business Details

VAT Registration No * Company name * Please use CAPITAL LETTERS

Additional Information

Dances - Details of sessions Dances - Room or area Dances - Estimated number to be held Dances - Estimated admission receipts Dances - Estimated expenditure on musicians Dances - Room capacity Dances - Floor area (sq. feet) Club - Details of sessions Club - Room or area Club - Estimated number to be held Club - Estimated admission receipts Club - Estimated expenditure on musicians Club - Room capacity Club - Floor area (sq. feet) Discotheques - Details of sessions Discotheques - Room or area Discotheques - Estimated number to be held Discotheques - Estimated admission receipts Discotheques - Estimated expenditure on musicians Discotheques - Room capacity Discotheques - Floor area (sq. feet) Background Music Room 1 - Description (e.g., Lounge, restaurant, bar) Background Music Room 1 - Seating capacity Background Music Room 1 - Television rec'd by cable/satellite

Yes No

Background Music Room 1 - Television

Yes No

Background Music Room 1 - Radio

Yes No

Background Music Room 1 - Record, CD or DVD player

Yes No

Background Music Room 1 - Music centre

Yes No

Background Music Room 1 - Radio cassette

Yes No

Background Music Room 1 - Video with or without TV screen

Yes No

Background Music Room 2 - Description (e.g., Lounge, restaurant, bar) Background Music Room 2 - Seating capacity Background Music Room 2 - Television rec'd by cable/satellite

Yes No

Background Music Room 2 - Television

Yes No

Background Music Room 2 - Radio

Yes No

Background Music Room 2 - Record, CD or DVD player

Yes No

Background Music Room 2 - Music centre

Yes No

Background Music Room 2 - Radio cassette

Yes No

Background Music Room 2 - Video with or without TV screen

Yes No

Background Music Room 3 - Description (e.g., Lounge, restaurant, bar) Background Music Room 3 - Seating capacity Background Music Room 3 - Television rec'd by cable/satellite

Yes No

Background Music Room 3 - Television

Yes No

Background Music Room 3 - Radio

Yes No

Background Music Room 3 - Record, CD or DVD player

Yes No

Background Music Room 3 - Music centre

Yes No

Background Music Room 3 - Radio cassette

Yes No

Background Music Room 3 - Video with or without TV screen

Yes No

Ownership Details

Function of applicant * e.g., Proprietor, Director, Financial Controller Applicant name * Please use CAPITAL LETTERS Applicant full postal address * Please use CAPITAL LETTERS Email Address * Telephone No. *

I apply for this license.

I understand that this application will be reviewed and that the information provided is accurate.

I hereby agree and certify that the information provided is accurate

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Julian Charles Road,
Sans Soucis,
P. O. Box CP5380,
Castries

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