LICENSE APPLICATION FORM (PREMISES) – Jamaica Music Society

LICENSE APPLICATION FORM (PREMISES)

Please select as appropriate *

Hotels, Motels, Villas, Guest Houses, Similar Establishments
Gyms, Fitness Centers, Health Studios
Dance Studios and similar enterprise/activity

GENERAL INFORMATION

Contact Person *

Business Trading Name

Name of Proprietor *

Please state company name if applicable

Business Address *

Address Line 1

City

State / Province / Region

Country

Email *

Telephone # 1 *

Telephone # 2

Hotels, Motels, Villas, Guest Houses, Similar Establishments

Type of Premises *

Hotel
Villa
Guest House
Other

Number of Bedrooms *

Are the Premises Open to Non-Guests? *

Other Type of Premises *

Do You Own Other Premises? *

If Yes Give Name(s)

Name of Premesis 1 *

Name of Premesis 2

Name of Premesis 3

GYMS & FITNESS CENTRES

DANCE CLASS CENTRES/STUDIOS

Date When You Commenced Playing Sound Recordings *

Total Size of Aerobic Area/s (In SQ FT)

Total Size of Other Area/s (In SQ FT):

(i.e. offices and other areas where recordings are played/audible

Number of Classes Per Week *

Number of Weeks Per Annum That Classes/Dances Take Place *

Average Attendance Per Dance Class

Type of Equipment Used to Play Sound Recordings *

CD Player
Cassette Deck/Turntable
Traditional Radio
Television/Video Screens
Satellite Radio
Digital Memory Music
Other

Tick applicable box/es

Number of Television/Video Screens *

Other Type of Equipment *

Please provide details of any additional use of sound recordings not covered in previous section.

Other Details

SIGNATORY

Name of Authorized Officer *

Position of Authorized Officer *

By submitting this form you assert that the information entered here is accurate and true. *

By submitting this form you assert that the information entered here is accurate and true.

I have read and agree with the Jamaica Music Society Privacy Policy