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Electronic Statement Delivery

In keeping with Sony’s global efforts to reduce waste and conserve resources, we are in the process of updating our systems in order to provide electronic royalty statements. In the future your royalty statements will be sent to you in a file via email. To complete this process, we need to gather some information from all royalty participants. Please take a few moments to fill out and submit this form to update/complete your contact information.

Please print and return this form:


Fax: (615)-261-5913

Mail: Provident Music Group
Royalty Department
741 Cool Springs Blvd
Franklin, TN 37067


Print Name of Provident Music Group Royalty Payee: ____________________________________

Account Type (select one): □ Artist □ Producer □ Publisher □ Third Party/Other


Address: ________________________________________________________________________

Telephone Number: _______________________________________________________________

Email Address for Statement Delivery: _________________________________________________

Contact Name: ___________________________________________________________________

Contact Email Address: ____________________________________________________________


SIGN HERE Provident Music Group Royalty Payee: Date: