You must have Javascript enabled in order to submit this form


Need help?

Contact the APRA AMCOS office in your state.
Australian Members: Website
New Zealand members: Website:

Section 1: Personal Details

* Required fields

Section 2: Jingle Details

Period covered by this form

* Work is (pick one)

Section 3: Media Used

Tick as many as applicable -

Section 4: Jingle Ownership Details

Please list the names and contributions of all authors/composers involved in creating this jingle. For example, if lyrics are included with this jingle and you did not write the lyrics, then please give us the author's name below or, where relevant, write 'agency lyrics'.


Section 5: Territories where the jingle has broadcast. Please check as many as applicable. We require evidence for all territories selected:

  1. (if you clicked USA then you need to complete section 6 before you send)

Section 6: Information required by ASCAP

Complete only if jingle was broadcast in the USA
(All below information is required for broadcasts in the United States by ASCAP)


If the jingle was broadcasted on USA television, we need you to submit an MP3 of the music-only (no voice over) to the APRA International Dropbox. Please create a free Dropbox account, and submit your clearly labelled MP3 to


I have read and accept the terms of APRA AMCOS’ Privacy Policy ( and consent to the handling of my personal information as described in those terms.

Australian Contact Information :
16 Mountain Street, Ultimo NSW 2007
Phone: 02 9935 7900
Fax: 02 9935 7970

New Zealand Contact Information:
Unit 113, Zone 23, 21-23 Edwin Street, Mount Eden
Phone: 09 623 4717

APRA AMCOS has five offices in Australia and an office in New Zealand. Click here for further contact details for your area.