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I understand that I can access my royalty payments from an authorized ATM or use a Comchek to withdraw my royalty payments at any bank and that I do not need to have a bank account to use my BMI Royalty Access Card. BMI AUTHORIZATION AGREEMENT FOR DEPOSIT OF ROYALTY PAYMENTS ONTO THE CARD 10 Music Square East Nashville TN 37203 Receive your royalties from any Sirus network worldwide Note that your BMI account must have received royalties prior to this application to qualify. Please complete the Authorization Agreement if you are requesting that future royalties due to you from BMI are to be deposited onto your Card Account. Please be sure to include a copy of your valid driver s license or other government issued photo identification* Your Name as it appears on your Royalty Statement BMI Account Number from your Royalty Statement Social Security or Federal Tax ID Number Street Address 5. Phone 6. Email 7. Date of Birth Check if entering change of address City State Zip I authorize Broadcast Music Inc* to electronically deposit my royalty payments onto the Card Account. If money to which I am not entitled is deposited to my account I authorize Broadcast Music Inc* to direct the financial institution to return said funds. This authority will remain in effect until I have filed a new authorization or until revoked by me in writing. Signature Date IMPORTANT INFORMATION ABOUT THE CARD Please return the application to BMI Attn Royalty Accounting 10 Music Square East Nashville TN 37203 You MUST include a copy of your valid driver s license or other government issued photo identification* Once your application is processed a Card will be sent to you with activation instructions. The next royalty statement you receive after your card has been activated will indicate that your royalties have been deposited to your Card account. You may then go to any authorized ATM to withdraw your funds. All normal ATM fees and restrictions apply. BMI AUTHORIZATION AGREEMENT FOR DEPOSIT OF ROYALTY PAYMENTS ONTO THE CARD 10 Music Square East Nashville TN 37203 Receive your royalties from any Sirus network worldwide Note that your BMI account must have received royalties prior to this application to qualify. Please complete the Authorization Agreement if you are requesting that future royalties due to you from BMI are to be deposited onto your Card Account. Please complete the Authorization Agreement if you are requesting that future royalties due to you from BMI are to be deposited onto your Card Account. Please be sure to include a copy of your valid driver s license or other government issued photo identification* Your Name as it appears on your Royalty Statement BMI Account Number from your Royalty Statement Social Security or Federal Tax ID Number Street Address 5. Please be sure to include a copy of your valid driver s license or other government issued photo identification* Your Name as it appears on your Royalty Statement BMI Account Number from your Royalty Statement Social Security or Federal Tax ID Number Street Address 5. Phone 6. Email 7. Date of Birth Check if entering change of address City State Zip I authorize Broadcast Music Inc* to electronically deposit my royalty payments onto the Card Account.

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Keywords relevant to Bmi Comchek Card Form

  • royalties
  • electronically
  • Activation
  • revoked
  • deposited
  • Restrictions
  • Nashville
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