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Your Artist Name:
Your Legal First Name:
Your Legal Middle Name:
Your Legal Last Name:
Your Date of Birth:
Your Place of Birth:
Your current address and country of residence:
Your Phone Number in international format
Your PRO (BMI, ASCAP, etc.) (enter none if you are not a member of any PRO)
Your IPI-N assigned to you by your PRO (This is NOT your membership number)
Your IPI-N Name as it apprears on your PRO Registration
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Bank Transfer (1%-3% Bank Fee)
Account Holders Legal Name
EU GDPR Agreement
I consent to having Count Zero Records, a division and brand of Monte Alto Venture d.o.o. , 10000 Zagreb, Croatia (OIB 73323570272) store my submitted information so they can respond to my inquiry and to receive information regarding their products and services periodically per email.
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