詩歌版權申請表 Application Form申請類別 Type of Application* 首次申請 或 申請單次使用First Time Application OR Single Use 年度版權續期申請Annual Renewal 上次版權申請參考編號(如有請提供)Please provide our reference number for your last application.申請者資料 Applicant Information團體/教會/學校/個人中文或英文全名:*Full name of organization/church/school/individual.地址:*Mailing Address 地址 Address AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 國家/城市 Country/City 聯絡人:*Contact Person 姓名 Name in full 性別 (先生/女士) Gender 職稱:*Title牧師 Rev./Pastor傳道 Evangelist/Preacher幹事 Deacon校長 Principal老師 Teacher不適用 N/A聯絡電話:*Phone NumberThis field is hidden when viewing the form手提電話:電子郵件:*Email 請提供上次申請時使用的電郵(如同上不用填寫):Please provide the email address used for your last application (leave blank if same as above) 申請版權資料 Copyright Information申請期限:*Period of Use 申請單次使用 For one-time use only 申請年度使用 For 12 months This field is hidden when viewing the form使用日期使用日期*Specific date of use DD slash MM slash YYYY 使用日期由:*Proposed date of use from DD slash MM slash YYYY 至:*To DD slash MM slash YYYY 申請用途 (必須為非牟利用途,可選多項)*Purpose(s) of using copyrighted materials (must be non-commercial use) 聚會 Worship Service/Event 影音製作 (CD/VCD/DVD/網上影視) Multimedia Production 詩集製作 Publication of Songbook 聚會性質:*Nature of event 教會崇拜 Church worship service 學校週會 School assembly 團契 Fellowship meeting 婚禮 Wedding ceremony 安息禮拜 Funeral service 其他 Other 其他聚會性質 (請註明):Please specify版權資料使用形式:*Form of use 現場敬拜/獻唱 Live worship or performance 播放背景音樂 Playing as background music 印製程序表 Printing rundown or programme leaflets 製作歌詞投影片 Making lyrics PPT 歌譜複印 Copying sheet music 其他 Other 其他使用形式 (請註明):Please specify影音製作 Multimedia Production產品名稱 Product title*This field is hidden when viewing the form燒錄數目 No. of copies (old-hidden)*擬出版日期 Proposed date of publication*日 Day日 Day12345678910111213141516171819202122232425262728293031月 Month月 Month123456789101112年 Year年 Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920詩集製作 Publication of Songbook詩集名稱 Title of Songbook*This field is hidden when viewing the form複印數量 No. of copies (old-hidden)*擬出版日期*Proposed date of publication日 Day日 Day12345678910111213141516171819202122232425262728293031月 Month月 Month123456789101112年 Year年 Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920申請版權項目 (可選多項) Item Details申請版權資料:*Copyrighted materials intended to use 網上資源 (歌詞/歌譜/投影片/影片)Our web resources (lyrics/sheet music/PPT/MV) 產品 (書籍/CD/VCD/DVD)Our product or publication (book/CD/VCD/DVD) 全部詩歌 (僅適用於年度申請)All songs in any format (for annual application only) 指定詩歌 Specific song(s) This field is hidden when viewing the form網上資源 Web resources (hidden title)網上資料名稱:*Title(s) of our web resourcesThis field is hidden when viewing the form產品 Product or publication (hidden title)產品名稱:*Title of our product or publicationThis field is hidden when viewing the form詩歌 Specific song(s) (hidden title)歌名(請註明):*Please specify the title(s) of song(s) to be usedThis field is hidden when viewing the form詩歌總數 (old-hidden)奉獻支持基恩敬拜 Donation 我(們)願意奉獻支持基恩敬拜I/We would like to make a donation to support AGWMM. 歡迎自由奉獻支持基恩敬拜Thank you for your support預算奉獻金額*Proposed donation amount (HKD) 奉獻收據,請註明:*Donation receipt 不需要 Not required 需要電郵收據 Please send receipt via email 需要郵寄收據,沿用通訊地址Please send receipt by post to the address mentioned above 需要郵寄收據,更新郵寄地址如下Please send receipt by post to the below address 收據郵寄地址:*Recipient's address付款方式 Payment Method** 1USD=7.8HKD PayPal/信用卡 (只接受港幣) PayPal/Credit Card 郵寄支票 (抬頭︰基恩敬拜音樂事工有限公司) Cheque 銀行轉賬 (恒生銀行 200-162907-001) Bank Transfer 轉數快 FPS (ID: 167954957) PayMe (連結及QR Code 如下) Payme 請按此連結或掃描以下QR code: 備註 Remarks 提交表格前請先閱讀《版權資料申請及使用須知》 本版權申請僅接納非牟利用途的申請,如已獲批准的申請改作商業用途,我們將保留追究權利,甚或影響我們日後審批相關人士提交的申請。 收到申請表格後,系統會自動發出確認電郵,但不表示該申請已獲接納。無論申請獲接納與否,我們將於三個工作天內回覆。 如需使用歌詞或歌譜印刷於程序表或任何刊物上,須連同作曲人、作詞人及版權擁有者【基恩敬拜音樂事工版權所有】字句一併刊印,並將該刊物郵寄或電郵予我們存檔。 若申請使用版權資料製作影音檔案或歌詞集,須於產品及其包裝上一併刊印版權擁有者【基恩敬拜音樂事工版權所有】字句,並惠寄該產品成品乙份予我們存檔。 版權申請包括單次使用或年度使用,年度版權申請者可於一年有效期內無限次及無限量使用我們的版權資料作非牟利用途,毋須逐次申請。 詩歌版權申請沒有指定收費,歡迎自由奉獻。惟因稅例緣故,所有版權申請之奉獻將不獲免稅收據。 申請年度版權的建議奉獻金額: 恆常聚會人數: 少於100人 100-200人 201-500人 501-1,000人 1,000人以上 建議奉獻金額: $1,000 $1,500 $2,000 $2,500 $3,000 申請者聲明 Applicant's Declaration* 我(們)已閱讀並同意遵守《版權資料申請及使用須知》內列明的條款。I/We have read and agree to abide by the terms set out in the above "Terms and Conditions". 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