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Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | TARIFF 24 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18
 |  |  |  | Application for licence / Quarterly report for the  year 2012 |  |  |  |  |  |  |  | Your account number
 |  |  |  |  |  |  |  |  |  |  |  | CS
Ringtones
In this form, you, your and licensee means the person or company applying for a licence or filing your quarterly 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. If you already have a licence under SOCAN Tariff 24, this is your quarterly report.
A Tariff 24 licence gives you the right to communicate to the public by telecommunication any or all of the Works in SOCAN’s repertoire by means of ringtone, a digital audio file that is played to indicate an incoming telephone call.
Please contact us if you have other music uses. You may need to be licensed under other tariffs.
Tell us about yourself
Name of your company |  |  |  |  |  | Mailing address (if different from your company's street address)
Your company's street address
City |  |  | Province and postal code |  |  | City |  |  |  |  |  |  |  | Province and postal code
Phone |  |  | Fax |  |  | Email address |  |  |  |  |  |  |  | Website
Company's legal name or name of owner |  |  |  |  |  | President/authorized signing officer of company
How to calculate your licence fee
The licence fee for Tariff 24 is 6 per cent of the price paid by the subscriber for the ringtone of a Work in SOCAN’s repertoire, net of any network usage fees, subject to a minimum royalty of 6¢ each time a ringtone for which a SOCAN licence is required is supplied. With your payment you must file the necessary information, as set out in the tariff and in this Application for licence/Quarterly report. Payments and reports are due no later than 60 days after the end of each calendar quarter.
 |  |  |  |  |  |  |  | CHECK PERIOD REPORTED
 |  |  |  |  |  |  |  | 1st Quarter  (January 1 to March 31) due May 30 |  |  |  |  | 2nd Quarter (April 1 to June 30) due August 29 |  |  | 3rd Quarter (July 1 to September 30) due November 29 |  | 4th Quarter (October 1  to December 31) due February 29
 |  |  |  |  |  | 2012
 |  |  |  |  |  |  | Fee payable |  |  |  |  |  |  |  | $
 |  |  |  |  |  |  | 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 payment |  |  |  |  |  |  |  | $
 |  |  |  |  |  |  | Please make cheque payable to SOCAN. Thank you!
FORM MUST BE COMPLETELY FILLED OUT AND SIGNED 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. | Licence fees and report form are due no later than 60 days after the end of each calendar quarter.
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.
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]