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Get Dc Soundexchange Account Authorization Form Primary Contact 2015-2024

I hereby authorize the following individual or entity to act on my behalf with respect to managing, maintaining and administering my account with SoundExchange, Inc. This includes, but is not limited to, modifying payee contact information; claiming repertoire; and collecting foreign royalties pursuant to a membership agreement and international mandate signed either by me or the following authorized individual or entity. NAME OF AUTHORIZED INDIVIDUAL OR ENTITY (Print):.

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