Radio Print Handicapped Services

Radio Print Handicapped Services
Add on licences

Schedule 5
If at any point you need assistance completing this form, please call us on 1300 852 388 or email communityradio@apra.com.au
Contact Information
All fields marked * are mandatory
Company Name*
APRA Account Number*
Contact Name*
Position
Contact Phone*
Email*
This email address will receive a copy of the completed Schedule 5 on submission of the form
Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website
Financial year period covered

Declaration
The information contained in this document is signed by an authorised officer as true and correct:
SIGNED BY ME*

First NameLast Name
Position*
Date

DayMonthYear
The email address nominated on page 1 will receive a copy of this completed Schedule 5 on submission.

	Yes	No
a) Copy music onto servers, hard drives, CDs or any other media for the purpose of broadcasting?
b) Use Production Music for station IDs, advertisements, themes or any other broadcast or online purpose?
c) Copy music into programs for the purpose of broadcast and/or to supply to other stations for the purpse of broadcast?

	Yes	No
a) Provide a real time Net Simulcast of the station’s community radio signal?
b) Provide on-demand or archived radio programming containing music (not including real time net simulcast under a)?

	Yes	No
a) Make available Podcasts of radio programming containing music from your site?
b) Stream individual Clips, Songs or Music Videos on the station’s website?

Radio Print Handicapped ServicesAdd on licences