Registration form Buma Cultuur stand Midem 2017
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Company details for Midem Guide and Website Listing
Company name :
Address :
Postal code :
City :
Telephone :
Website :
Country :
Midem Guide and Website Listing
Your Primary Activity: (From the list below, please indicate which number corresponds to your company’s primary activity, 1 number only!)
Details of your company’s activities, tick appropriate box(es):
Record Artist Management Media
1 Record company/Label 14 Agent/Manager 28 Print
2 Production/Recording studio 29 Digital
3 Licensing 30 Radio
Artist 31 TV
15 Performing artist
Publishing 16 Author/Composor Music & Images
4 Music publisher 32 TV Programme Acquisition
Organisation/official 33 Audio-visual production
Distribution/retail 17 Collecting 34 Soundtrack Production & Music
5 CD/DVD Replication copyright society Library
& Packaging 18 Trade body 35 Music Supervisor
6 Wholesaler/distributor 19 Colleges/universities 36 Video Game Production
7 Importer/Exporter/ 20 Officials
overstock
8 Retailer/Record Shop Digital Brands & Advertising
21 App. Developers 37 Brands
22 Aggregators & 38 Advertising Agencies
Digital distributors
Service 23 Digital B2C Services & Live/event
9 Law Firm e-Commerce 39 Venue & Festival
10 Consulting 24 Digital B2B Services & 40 Promoter
11 PR Solutions 41 Booking Agency
12 Finance/Banker/VC 25 Social Media
13 Merchandising 26 Hardware manufacturer
27 Network operators / ISP
Your primary Musical Style: (if applicable, please indicate from the list below which number corresponds to your company’s primary musical genre (1 number only!)
Give details of your Musical Genre, tick appropriate box(es):
1 Classical 6 Kids 11 R’n’B/HipHop/Urban 16 Soundtracks
2 Country/Folk 7 Latin 12 Reggae 17 Other
3 Electronic Dance 8 New Age 13 Rock/Alternative
4 Hard Rock/Metal 9 Pop 14 Traditional Ethnic
5 Jazz/Blues 10 Rhythm & Blues 15 World
For Buma Cultuur info only
Company Profile ten behoeve van de Company Profile brochure die tijdens
Midem 2017 zal worden verspreid door Buma Cultuur.
Stuurt u tevens van iedere deelnemer een duidelijke foto mee (een voor druk kwalitatief geschikte foto), deze foto’s zullen bij uw company profile worden geplaatst.
Company profile (in Engels):
(maximaal 100 woorden!)
Soort bedrijf:
(bijv. record company, publisher, producer, etc.)
Muziekgenre:
(indien van toepassing)
Accommodation: http://www.midem.b-network.com/
For any assistance, please contact the Midem Hoteldesk at
List of Participants for Midem Yearbook & Midem online database
Participant 1 Mr / Mrs / Ms
Surname :
First name :
Job title :
E-mail : (individual e-mail address is mandatory for each participant to receive login information to access the Midem online database*)
* Information not listed in the Guide
Mobile phone number :
(for Buma Cultuur info only, to be published in the Company Profile brochure)
Hide my personal email address on the Midem online database
I do not wish to receive commercial offers from Reed MIDEM
I do not wish my personal data to be transferred to 3rd parties for prospecting purposes
Please indicate your MAIN individual activity at the market (select 1 number):
1. A&R/Creative/Producer 8. CEO/General Manager/MD 15. Head of Content/Label Relations
2. Marketing/Communication 9. VC/Investor/Business Angel 16. Student
3. Sales 10. Artist/Author/Composer 17. Consultant
4. Sync/Licensing Brands 11. Legal/Business & Public Affairs 18. Founder/Partner
5. Business Development/Strategy 12. PR/Media Relations 19. Concert Promoter
6. International Export/Sales 13. Artist Manager/Booking Agent
7. Music Publisher 14. Digital/Innovation/Technology
Participant 2 Mr / Mrs / Ms
Surname :
First name :
Job title :
E-mail : (individual e-mail address is mandatory for each participant to receive login information to access the Midem online database*)
* Information not listed in the Guide
Mobile phone number :
(for Buma Cultuur info only, to be published in the Company Profile brochure)
Hide my personal email address on the Midem online database
I do not wish to receive commercial offers from Reed MIDEM
I do not wish my personal data to be transferred to 3rd parties for prospecting purposes
Please indicate your MAIN individual activity at the market (select 1 number):
1. A&R/Creative/Producer 8. CEO/General Manager/MD 15. Head of Content/Label Relations
2. Marketing/Communication 9. VC/Investor/Business Angel 16. Student
3. Sales 10. Artist/Author/Composer 17. Consultant
4. Sync/Licensing Brands 11. Legal/Business & Public Affairs 18. Founder/Partner
5. Business Development/Strategy 12. PR/Media Relations 19. Concert Promoter
6. International Export/Sales 13. Artist Manager/Booking Agent
7. Music Publisher 14. Digital/Innovation/Technology
Participant 3 Mr / Mrs / Ms
Surname :
First name :
Job title :
E-mail : (individual e-mail address is mandatory for each participant to receive login information to access the Midem online database*)
* Information not listed in the Guide
Mobile phone number :
(for Buma Cultuur info only, to be published in the Company Profile brochure)
Hide my personal email address on the Midem online database
I do not wish to receive commercial offers from Reed MIDEM
I do not wish my personal data to be transferred to 3rd parties for prospecting purposes
Please indicate your MAIN individual activity at the market (select 1 number):
1. A&R/Creative/Producer 8. CEO/General Manager/MD 15. Head of Content/Label Relations
2. Marketing/Communication 9. VC/Investor/Business Angel 16. Student
3. Sales 10. Artist/Author/Composer 17. Consultant
4. Sync/Licensing Brands 11. Legal/Business & Public Affairs 18. Founder/Partner
5. Business Development/Strategy 12. PR/Media Relations 19. Concert Promoter
6. International Export/Sales 13. Artist Manager/Booking Agent
7. Music Publisher 14. Digital/Innovation/Technology
Participant 4 Mr / Mrs / Ms
Surname :
First name :
Job title :
E-mail : (individual e-mail address is mandatory for each participant to receive login information to access the Midem online database*)
* Information not listed in the Guide
Mobile phone number :
(for Buma Cultuur info only, to be published in the Company Profile brochure)
Hide my personal email address on the Midem online database
I do not wish to receive commercial offers from Reed MIDEM
I do not wish my personal data to be transferred to 3rd parties for prospecting purposes
Please indicate your MAIN individual activity at the market (select 1 number):
1. A&R/Creative/Producer 8. CEO/General Manager/MD 15. Head of Content/Label Relations
2. Marketing/Communication 9. VC/Investor/Business Angel 16. Student
3. Sales 10. Artist/Author/Composer 17. Consultant
4. Sync/Licensing Brands 11. Legal/Business & Public Affairs 18. Founder/Partner
5. Business Development/Strategy 12. PR/Media Relations 19. Concert Promoter
6. International Export/Sales 13. Artist Manager/Booking Agent
7. Music Publisher 14. Digital/Innovation/Technology
Participant 5 Mr / Mrs / Ms
Surname :
First name :
Job title :
E-mail : (individual e-mail address is mandatory for each participant to receive login information to access the Midem online database*)
* Information not listed in the Guide
Mobile phone number :
(for Buma Cultuur info only, to be published in the Company Profile brochure)
Hide my personal email address on the Midem online database
I do not wish to receive commercial offers from Reed MIDEM
I do not wish my personal data to be transferred to 3rd parties for prospecting purposes
Please indicate your MAIN individual activity at the market (select 1 number):
1. A&R/Creative/Producer 8. CEO/General Manager/MD 15. Head of Content/Label Relations
2. Marketing/Communication 9. VC/Investor/Business Angel 16. Student
3. Sales 10. Artist/Author/Composer 17. Consultant
4. Sync/Licensing Brands 11. Legal/Business & Public Affairs 18. Founder/Partner
5. Business Development/Strategy 12. PR/Media Relations 19. Concert Promoter
6. International Export/Sales 13. Artist Manager/Booking Agent
7. Music Publisher 14. Digital/Innovation/Technology
Participant 6 Mr / Mrs / Ms
Surname :
First name :
Job title :
E-mail : (individual e-mail address is mandatory for each participant to receive login information to access the Midem online database*)
* Information not listed in the Guide
Mobile phone number :
(for Buma Cultuur info only, to be published in the Company Profile brochure)
Hide my personal email address on the Midem online database
I do not wish to receive commercial offers from Reed MIDEM
I do not wish my personal data to be transferred to 3rd parties for prospecting purposes
Please indicate your MAIN individual activity at the market (select 1 number):
1. A&R/Creative/Producer 8. CEO/General Manager/MD 15. Head of Content/Label Relations
2. Marketing/Communication 9. VC/Investor/Business Angel 16. Student
3. Sales 10. Artist/Author/Composer 17. Consultant
4. Sync/Licensing Brands 11. Legal/Business & Public Affairs 18. Founder/Partner
5. Business Development/Strategy 12. PR/Media Relations 19. Concert Promoter
6. International Export/Sales 13. Artist Manager/Booking Agent
7. Music Publisher 14. Digital/Innovation/Technology
Participant 7 Mr / Mrs / Ms
Surname :
First name :
Job title :
E-mail : (individual e-mail address is mandatory for each participant to receive login information to access the Midem online database*)
* Information not listed in the Guide
Mobile phone number :
(for Buma Cultuur info only, to be published in the Company Profile brochure)
Hide my personal email address on the Midem online database
I do not wish to receive commercial offers from Reed MIDEM
I do not wish my personal data to be transferred to 3rd parties for prospecting purposes
Please indicate your MAIN individual activity at the market (select 1 number):
1. A&R/Creative/Producer 8. CEO/General Manager/MD 15. Head of Content/Label Relations
2. Marketing/Communication 9. VC/Investor/Business Angel 16. Student
3. Sales 10. Artist/Author/Composer 17. Consultant
4. Sync/Licensing Brands 11. Legal/Business & Public Affairs 18. Founder/Partner
5. Business Development/Strategy 12. PR/Media Relations 19. Concert Promoter
6. International Export/Sales 13. Artist Manager/Booking Agent
7. Music Publisher 14. Digital/Innovation/Technology
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