1. 700 North Fairfax Street
Suite 601
Alexandria , VA 22314
Phone: (703) 535-8101
FAX: (703) 535-8105
www.aarcroyalties.com
Royalty Distribution Information for
Featured Recording Artists and Groups
Please provide the following information so that the AARC can process your royalty claim.
Complete a separate form
for each performing name (that is, the name of the featured artist or group as it would appear on
the album) under
which you have recorded.
If you are a member of a group claiming royalties only for yourself (that is, not the group as a
whole),
please contact us.
.
1. Artist.*
(A separate registration must be completed for each performing name or group name)
.
The Artist is a
Provide the name of the artist:
If Solo: (n/a to Groups/Orchestras)
Legal Name(Last):

2. 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 informational
purposes only. The
claimant 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 you
information 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 Number
Fax Number
Email Address:

3. 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 Number
Fax Number
Email Address:
.
*We will have to withhold a portion of your royalties and send it to the US Internal Revenue
Service if the Artist does not complete and return to us an AARC-004 form or
in 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.

4. 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 the
following countries:
Exclude:
Spain
Japan
The Netherlands
Switzerland
5. Artist Web Graphic Permission (Optional)
I authorize AARC to obtain a public domain photo of this artist for display on aarcroyalties.com
as a featured AARC member
FORM COMPLETED BY:
AFFILIATION WITH ARTIST:
TELEPHONE: DATE:
SIGNATURE REQUIRED
X ______________________
YOU MUST PRINT THIS PAGE PRIOR TO PROCEEDING, WE REQUIRE THIS FORM
PRINTED AND SIGNED BEFORE FINALIZING REGISTRATION.
(Please verify this page had printed prior to proceeding, you WILL NOT be able to go back)