PART OF THE MENDED HEART MUSIC FAMILY OF COMPANIES
License Request Form
Are you ready to license one of our songs? Please fill out this form with the requested information. We will contact you as soon as possible (typically within 24-48 hours).
For questions or urgent requests, please call us at (918)607-3046.
Our contact information:
221st Street Music LLC
d.b.a. 221st Street Publishing
Kenny Mock, publishing coordinator
email: licensing@221street.com
Phone/Text:
918.607.3046
General Email:
info@221street.com
Fax:
918.224.8764
Mailing Address:
221st Street Publishing
8654 S. 113th West Ave.
Sapulpa, OK 74066
* Please do not send unsolicited
songs without contacting us first.
Your Name: *required
Your Phone Number: *required
Your Email Address: *required
What is your request? *required (Check all that apply)
Which song(s) do you want to license? *required (Please list all songs)
The following is information that will need to be provided for the licensing agreement(s). Although it is not required in order to submit this form, it will be needed before a license can be issued.
- Licensee’s legal business name
- Is there a contact name or a trade name?
- Licensee’s street address
- Licensee’s city, state & ZIP
- If known, what is the name of the album?
- For Mechanical Licenses, how many copies?
- For Master Use Licenses, will it be streamed?
