RockWorks® Productions, Inc. Artist/Band Publishing Form

Music Genre:	Type Of Music:
Name Of Artist/ Band:
Website:	Email:
Composition #1:
Copywritten? Yes No If "Yes", Registration #	Recorded? Yes No If "Yes", Pub Name:
Notated? Yes No	Co-Written? Yes No If "Yes", Co-Writer Name & %:
Composition #2:
Copywritten? Yes No If "Yes", Registration #	Recorded? Yes No If "Yes", Pub Name:
Notated? Yes No	Co-Written? Yes No If "Yes", Co-Writer Name & %:
Composition #3:
Copywritten? Yes No If "Yes", Registration #	Recorded? Yes No If "Yes", Pub Name:
Notated? Yes No	Co-Written? Yes No If "Yes", Co-Writer Name & %:
Composition #4:
Copywritten? Yes No If "Yes", Registration #	Recorded? Yes No If "Yes", Pub Name:
Notated? Yes No	Co-Written? Yes No If "Yes", Co-Writer Name & %:
Composition #5:
Copywritten? Yes No If "Yes", Registration #	Recorded? Yes No If "Yes", Pub Name:
Notated? Yes No	Co-Written? Yes No If "Yes", Co-Writer Name & %:

If this form fails to submit, please email us your information at publishing@rockworksproductions.com.

Thank you for you cooperation.

RockWorks® Productions, Inc. does and will not distribute or sell any submitted information for any reason other than management purposes.