700 North Fairfax StreetSuite 601Alexandria , VA 22314Phone: (703) 535-8101FAX: (703) 535-8105www.aarcroyalties.com Royalty Distribution Information for Featured Recording Artists and GroupsPlease provide the following information so that the AARC can process your royalty claim.Complete a separate formfor each performing name (that is, the name of the featured artist or group as it would appear onthe album) underwhich you have recorded.If you are a member of a group claiming royalties only for yourself (that is, not the group as awhole),please contact us..1. Artist.*(A separate registration must be completed for each performing name or group name).The Artist is aProvide the name of the artist:If Solo: (n/a to Groups/Orchestras)Legal Name(Last):
Legal Name(First and Middle):Artist�s Date of Birth:.If Group: (n/a to Solo Artists).Please provide the names and date of birth of each group member. This is for informationalpurposes only. Theclaimant will still collect royalties for the group as a whole..lf more than 5 members, please list below.2. Contact Information. Please indicate who we should contact if we need to send youinformation or ask questions(this does not include issuing a check -- to indicate a payee, see section 3).Name:Company:Address 1:Address 2:City:State(US-only abbreviation):Zip:Country:Telephone NumberFax Number Email Address:
3. Payment. Tell us to whom you want your royalty payments sent and at what address.Make the Check Payable to:Is the payment contact the same as the general contact?Name:Company:Address 1:Address 2:City:State(US-only abbreviation):Zip:Country:Telephone NumberFax Number Email Address:.*We will have to withhold a portion of your royalties and send it to the US Internal RevenueService if the Artist does not complete and return to us an AARC-004 form orin the case of a foreign resident, an IRS W-8 Form.4. Foreign Hometaping and Rental Royalties.I would like AARC to collect Hometaping and Rental Royalties worldwide.
I would like AARC to collect Hometaping Royalties in the US ONLY..I would like AARC to collect Hometaping and Rental Royalties worldwide and exclude thefollowing countries:Exclude:SpainJapanThe NetherlandsSwitzerland5. Artist Web Graphic Permission (Optional)I authorize AARC to obtain a public domain photo of this artist for display on aarcroyalties.comas a featured AARC memberFORM COMPLETED BY:AFFILIATION WITH ARTIST:TELEPHONE: DATE:SIGNATURE REQUIREDX ______________________YOU MUST PRINT THIS PAGE PRIOR TO PROCEEDING, WE REQUIRE THIS FORMPRINTED AND SIGNED BEFORE FINALIZING REGISTRATION.(Please verify this page had printed prior to proceeding, you WILL NOT be able to go back)