Application:
Author's own productions

Tariff PI

Applications must reach SUISA at least 10 days prior to the music data carrier being manufactured. SUISA generally does not collect licence fees in such cases.

Please print the form once you have filled it in completely, and have it signed by all authors (SUISA members) before you send it to us by post or via e-mail.


Customer address (Principal)
Declaration of the music data carrier

CD

Information on the data carrier

Manufacture

Distribution and Price

If the CD is sold in various countries, please use a new section for each country of sale.



Used works/tracks

Please click on the symbol + (on the right-hand side below) if you wish to record more than one work.

Work/Track

Bitte geben Sie bei Komponist/In, Textautor/In und Bearbeiter/in jeweils den Vor- und Nachnamen ein (keine Pseudonyme).

LP

Information on the data carrier

Manufacture

Distribution and Price

If the LP is sold in various countries, please use a new section for each country of sale.



Used works/tracks

Please click on the symbol + (on the right-hand side below) if you wish to record more than one work.

Work/Track

Bitte geben Sie bei Komponist/In, Textautor/In und Bearbeiter/in jeweils den Vor- und Nachnamen ein (keine Pseudonyme).

DVD

Information on the data carrier

Manufacture

Distribution and Price

If the DVD is sold in various countries, please use a new section for each country of sale.



Used works/tracks

Please click on the symbol + (on the right-hand side below) if you wish to record more than one work.

Work/Track

Bitte geben Sie bei Komponist/In, Textautor/In und Bearbeiter/in jeweils den Vor- und Nachnamen ein (keine Pseudonyme).

OTHER MUSIC DATA CARRIER

Information on the data carrier

Manufacture

Distribution and Price

If the music data carrier is sold in various countries, please use a new section for each country of sale.



Used works/tracks

Please click on the symbol + (on the right-hand side below) if you wish to record more than one work.

Work/Track

Bitte geben Sie bei Komponist/In, Textautor/In und Bearbeiter/in jeweils den Vor- und Nachnamen ein (keine Pseudonyme).

Production funding

The undersigned confirm that it was them exclusively who financed the production(s) mentioned above and that they sell it on their own behalves. They agree that SUISA will not collect and pay out authors remuneration for these and any future pressing runs, contrary to the provisions of the Rights Administration Agreement. If any publishers or other authors are involved in the recorded works, SUISA shall issue an invoice for the licence fees for these works.


Renunciation on blank media levies

By signing this form, you also renounce on a share of your income arising from blank media levies. The supplement varies year on year. It depends from the annual collections arising from tariff PI and the common tariffs 4. It is usually between 10% and 50%.


Authors' signatures

Please indicate all SUISA members involved in the production and the works. All persons listed in this form must sign it.

Author

Contact for queries

Please let us know who your contact is in case we have any queries regarding this application.


Message
Confirmation of your details

Do you need any help completing this form?

+41 44 485 66 66

Reproduction right (tariff PI - Single transactions)

Do you need any help completing this form?

Do you need any help completing this form?

+41 44 485 66 66

Reproduction right (tariff PI - Single transactions)