Work Registration Form …

                                         Work Registration Form
                              Broadcast Music, Inc., 10 Music Square East, Nashville, TN 37203
                                    Attn. Music Works Registration Dept. 615-401-2000
              COMPLETE FORM IN ACCORDANCE WITH INSTRUCTIONS ON THE REVERSE SIDE AND RETURN TO BMI.
              DO NOT USE THIS FORM TO CORRECT OR REVISE INFORMATION ON A PREVIOUSLY REGISTERED
              WORK. PLEASE SUBMIT WRITTEN REQUESTS FOR UPDATES ON PREVIOUSLY REGISTERED WORKS TO
              THE BMI MUSIC WORKS REGISTRATION DEPARTMENT.
Title - ONE WORK PER FORM


AKA
IF BASED ON PUBLIC DOMAIN - ENTER ORIGINAL TITLE, WRITER AND SOURCE


 CHECK IF WORK IS FROM                                  ENTER TITLE OF MOTION PICTURE, TV, FILM OR SHOW
 q  TV FILM                                                            (SEE REVERSE SIDE)
 q  MOTION PICTURE
 q  BROADWAY SHOW
 q  OFF-BROADWAY SHOW
 q  INFOMERCIAL

WRITER(S) NAME(S)                                                                 AFFILIATION (e.g.     Writer
                                                      WRITER(S) ADDRESS             BMI, ASCAP,       Percentage       FOR BMI USE
LAST                  FIRST          MIDDLE                                        SESAC, PRS)          Share      DO NOT WRITE BELOW
                                                                                                                    Credit     Multi.
                                                                                                                    Rate       Rate

    SOC. SEC. NO.




    SOC. SEC. NO.




    SOC. SEC. NO.




    SOC. SEC. NO.




    SOC. SEC. NO.

q   CHECK HERE IF NO RIGHTS GRANTED BY WRITER(S) TO ANY PUBLISHER                 AFFILIATION (e.g.    Publisher
q   CHECK HERE IF PUBLISHER IS ADMINISTRATOR ONLY. DO NOT CHECK THIS BOX IF         BMI, ASCAP,       Percentage
    PUBLISHER OWNS PART OR ALL OF COPYRIGHT AND/OR PERFORMING RIGHTS.              SESAC, PRS)          Share

                              PUBLISHER(S) NAME(S)
NAME(S) OF U.S. ORIGINAL PUBLISHER(S)




IF WORK IS OF FOREIGN ORIGIN, COMPLETE BELOW:

U.S. SUB-PUBLISHER(S): (PLEASE GIVE TERRITORIES)




FULL NAME OF FOREIGN ORIGINAL PUBLISHER




     PLEASE DO NOT SUBMIT NON-MUSICAL WORKS AS THEY CANNOT
     BE REGISTERED BY BMI. FOR SPOKEN WORD MATERIAL WITH A
     MUSICAL BACKGROUND, SEE INSTRUCTIONS ON REVERSE SIDE.
                                                                                 RECORDING LABEL & NO. OF 1ST RELEASE
     TYPE OR PRINT NAME AND ADDRESS OF SUBMITTING BMI AFFILIATE

                                                                                 ARTIST                                  RELEASE DATE


        MAIL
CONFIRMATION                                                                     DATE SUBMITTED TO BMI
         TO:
                                                                                 AUTHORIZED SIGNATURE



                      REGISTERED IN ACCORDANCE WITH TERMS ON REVERSE SIDE
WORK-REG-E 5/2003
                                                         INSTRUCTIONS

Enter applicable information on the reverse side and RETURN TO BMI MUSIC WORKS REGISTRATION DEPARTMENT. DO
NOT enter information in the shaded areas.


TITLE               Enter complete title of work you are submitting for Registration. If also known under another title, please
                    indicate aka (also known as) and enter other title. (YOU MAY REGISTER ONLY ONE WORK PER FORM)

                    If this work is based on a Public Domain work, enter ORIGINAL TITLE, WRITER AND SOURCE.

                    If this work was written for a Full Length Feature Motion Picture or a Film made for TV, or a Broadway, Off-
                    Broadway Show or Infomercial, check appropriate box and enter complete title of Motion Picture, TV Film,
                    Show or Infomercial.


WRITER(S)           Enter complete name and address of each writer. If pseudonym, enter complete name of writer under his
                    pseudonym. Last Name first, followed by First Name and Middle Name or Initial. Enter Social Security No. of
                    each writer.

                    Enter the affiliation (PERFORMING RIGHTS ORGANIZATION) for each writer.


PERCENTAGE          Enter share of each writer. Writers' shares should total at least 100%.
SHARES
WRITER(S)


PUBLISHER(S)        Enter complete name of all publishers and co-publishers.

                    If publisher has acquired work from a publisher outside the United States, enter complete name of the
                    original foreign publisher and the territories for which sub-publishing rights were acquired.

                    Enter the affiliation (PERFORMING RIGHTS ORGANIZATION) for each publisher.


PERCENTAGE          Enter share of each publisher. Publishers' shares should not exceed 100%.
SHARES
PUBLISHER(S)        IF NO RIGHTS HAVE BEEN ASSIGNED TO ANY PUBLISHER, CHECK THE BOX PROVIDED. IN SUCH
                    CASE, FULL PUBLISHER SHARE WILL BE DIVIDED BETWEEN WRITERS IN SAME PERCENTAGE AS
                    WRITER SHARES.

                    If part of publisher share has been granted, indicate percentage due to publisher and percentage
                    retained by writer(s).


SPOKEN              Spoken word material with a musical background will be registered only if the music is original (not based
WORD                on Public Domain work) and if a substantial part of the recording contains background music. A recording
MATERIAL            must be submitted with this Registration Form if this is spoken word material.


RECORD              If this work has been recorded, enter the recording label and number, artist and date or future date of
                    release.


DATE                Enter the date you are submitting this work to BMI.


SIGNATURE           This form must be signed by an affiliated writer or an authorized representative of the submitting publisher.


IF ALL OF THE ABOVE INSTRUCTIONS ARE NOT FOLLOWED, THIS WORK WILL NOT BE REGISTERED FOR LOGGING
PURPOSES AND THE FORM WILL BE RETURNED TO YOU FOR CORRECTION OR COMPLETION.


                                                     REGISTRATION TERMS

THE RETURN OF A WORK REGISTRATION CONFIRMATION STATEMENT INDICATES THAT THE WORK LISTED ON THE
REVERSE SIDE HAS BEEN REGISTERED.

A writer submitting this form warrants and represents that (s)he is the writer or co-writer of the work to the extent indicated and
that (s)he has not acquired his or her interest in such work by virtue of purchase or assignment from the writer or writers thereof.

Please note that in the event that a registered work is publisher or recorded with lyrics which we, in our sole judgement, regard
as unsuitable for broadcast use or with musical or lyrical material which we, in our sole judgement, regard as an infringement,
we reserve the right at anytime to exclude this work in its entirety from the provisions of our agreement and to withdraw the
registration.

We bring to your attention that in the event a registration form submitted does not properly indicate in the space provided
therefor that a work is based on public domain source, we reserve the right, if at any time such work is found to have a public
domain source, to allocate to such work a percentage of the normal logging credit, or in the case of a work having little or no
original material, to give no logging credit to such work.