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Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | TARIFF 22.C | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15
 |  |  |  | Application for licence/ Annual report for the year 2012 |  |  |  |  |  |  |  | Your account number
 |  |  |  |  |  |  |  |  |  |  |  | CS
Internet – Other Uses of Music – Non-Commercial Radio
In this form, you, your and licensee means the person or company applying for a licence or filing your report. We, our, us and SOCAN means the Society of Composers, Authors and Music Publishers of Canada. Works means any or all of the musical works in SOCAN’s repertoire.
If you are applying for a licence, SOCAN will process your application within 30 days of receipt and contact you in the event that your application is not approved.
A Tariff 22.C licence gives you the right to communicate to the public by telecommunication any or all of the Works by means of certain Internet transmission or similar transmission facilities by a radio station that is subject to Tariff 1.B.
Please contact us if you have other music uses. You may need to be licensed under other tariffs. This tariff does not apply to uses covered by other applicable tariffs, including SOCAN Tariffs 1.B, 16 and 22.A.
Tell us about yourself
[NAME] (Person or company applying for this licence) |  |  |  |  |  | Your Tariff 1.B account number or your call letters
[NAME]'s street address |  |  |  |  |  | Mailing address (if different from your company's street address)
City |  |  | Province and postal code |  |  | City |  |  |  |  |  |  |  | Province and postal code
Phone |  |  | Fax |  |  | Email address |  |  |  |  |  |  |  | Website
[NAME]'s legal name [NAME]'s legal name |  |  |  |  |  | President/authorized signing officer of licensee
How to calculate your licence fee
The licence fees for the year 2012 are based on two factors: (1) 1.9% of the station’s gross Internet operating costs, and (2) the ratio of audio page impressions to all page impressions on the station's site if that ratio is provided to SOCAN and 0.5 if not. Please use the attached calculation form to calculate the applicable licence fees. A station that includes its gross Internet operating costs in calculating the royalties payable pursuant to Tariff 1.B is not required to pay any royalties or to provide any information pursuant to Tariff 22.C.
 |  |  |  |  |  | Fees payable                                                                                                                                                                                  (see "C" on calculation form) |  |  |  |  |  |  |  |  | 0
 |  |  |  |  | Add 5% GST (AB, MB, NT, NU, PE, QC, SK, YT)
 |  |  |  |  | Add 9.5% QST (QC)
 |  |  |  |  | Add 13% HST (ON, NB, NL), 12% (BC), 15% (NS)
 |  |  |  |  |  |  | Total
 |  |  |  |  |  |  | Please make cheque payable to SOCAN. Thank you!
FORM MUST BE COMPLETELY FILLED OUT AND SIGNED ON REVERSE PRIOR TO SUBMISSION
Terms of this licence
The legal terms that govern your licence include those set out herein as well as the terms found in the approved tariff including the General Provisions, as approved by the Copyright Board for each year (collectively, the tariff). If you have any questions regarding the terms, please contact us at the address and numbers shown at the bottom of this page.
1. | If the tariff for a year has not been approved by January 1st of that year, the last approved tariff will govern until the new version is approved, at which time the licence fees will be adjusted to reflect the approved version for the year. |  |  |  |  | 4. | You will keep records of all information required to calculate the licence fees.
2. | A copy of any tariff may be obtained from SOCAN by calling   [PHONE]. |  |  |  |  | 5. | The time periods to be used in calculating royalties, as well as the dates at which payments must be effected and information reported, shall be the same as in Tariff 1.B.
3. | The licence fee, plus applicable taxes, will be calculated in accordance with the terms of the tariff based on the information set out in the most recently filed report form or audit form, subject to adjustment to reflect any updated reports or audits pursuant to the tariff. |  |  |  |  | 6. | SOCAN has the right to terminate the licence for any breach of the licence's terms or conditions upon 30 days notice in writing.
Your signature
By signing below, you agree that:
 | you have read, understood, and accept the terms of this licence
 | all information you have provided is correct and complete
 | you have authority to bind the licensee.
Your name (please print) |  |  |  |  |  | Your title (please print)
Today's date (please print in full) |  |  |  |  |  | Your signature
We are committed to handling your personal information responsibly. For more information about [NAME]'s Privacy Policy, please visit www.socan.ca.
After you have read, completed, and signed this form, please send it with your cheque to:
SOCAN |  |  |  |  |  |  |  |  |  |  | Music means business
41 [NAME] |  |  |  |  | Toll-free [PHONE]
Toronto, Ontario M3B 2S6 |  |  |  |  | Fax [PHONE]
www.socan.ca |  |  |  |  | [EMAIL]
GST/HST #R101077931
QST #[PHONE]