Song Title:
Date:
Writer Name & Percentage 1:
Writer Name & Percentage 2:
Writer Name & Percentage 3:
Publisher Name & Percentage 1:
Publisher Name & Percentage 2:
Publisher Name & Percentage 3:
Master Recording Owner Name & Percentage 1:
Master Recording Owner Name & Percentage 2:
Master Recording Owner Name & Percentage 3:
Agreed to by:
X___________________________________
X___________________________________
X___________________________________