SHEET MUSIC USA

SUBMITTING MUSIC
TO
SHEETMUSICUSA.COM

1. SheetMusicUSA.com is owned and operated by Doober Dans LLC, located at 215 N. Moorpark Road, Thousand Oaks, CA.

2. Please complete this form and fax it with submitted sheet music for any instrument to SheetMusicUSA.com at
805-777-9219. Submitted music MUST be accompanied by this completed form. Any submitted music published on SheetMusicUSA.com will be published with the submitted title, the composer's name, and/or the music arranger's name. Publishing the sender's e-mail address is optional and the sender should indicate on this form whether the sender wishes the music to be published with the sender's e-mail address. Submitted music may be in any form (including hand written notes, chords, etc). Click for blank guitar sheet music or click for blank piano sheet music.


3. By completing and sending this form with submitted sheet music, the sender acknowledges and agrees that sheet music
submitted to SheetMusicUSA.com is not copy righted, owned by, or has any other beneficial ownership or interest by any
other party. Furthermore, the sender authorizes SheetMusicUSA.com and Doober Dans LLC to publish submitted sheet music on SheetMusicUSA.com, or through any other means or methods, for commercial or non-commercial purposes, as
determined solely by and for the exclusive benefit of SheetMusicUSA.com and Doober Dans LLC. Sender agrees to indemnify, defend and hold SheetMusicUSA and Doober Dan's LLC, harmless from and against any and all claims, suits, proceedings, liabilities, damages, penalties, fines, costs and expenses, or any other loss asserted against or incurred by SheetMusicUSA.com and Doober Dans LLC by reason of publishing sheet music submitted by sender.

SUBMITTED MUSIC TITLE (required): ________________________________________

COPOSER'S NAME (required): ______________________________________________

COMPOSED FOR INSTRUMENT (required): ___________________________________

SENDER'S NAME (required): ________________________________________________

SENDER'S E-MAIL ADDRESS (required): ______________________________________

DOES SENDER WANT E-MAIL ADDRESS ON MUSIC? CIRCLE ONE: YES NO

SENDER'S SIGNATURE: ___________________________________