Accept

Note: Items marked with an asterisk (*) must be completed
PRS WRITER MEMBERSHIP APPLICATION
Before you apply for Membership please read our Terms and Conditions.
 
Terms and Conditions
 
If you have read and accept our Terms and Conditions and wish to complete the Application form please click the Accept button below.
NAME AND ADDRESS DETAILS

(True name as stated on birth certificate or passport)
Surname*  Help Forename(s)*  Help
Full postal address*  Help Date of birth*  Help
Nationality*  Help
Postcode*  Help Email address*  Help
Telephone number (inc. STD code)*  Help Daytime/mobile telephone number  Help
PAYMENT DETAILS


Name of bank or building society*  Help Sort code*  Help
Address of bank*  Help Account number*  Help
Name in which account is held*  Help
Pay reference details  Help
PSEUDONYM DETAILS  Help


Surname Forename(s)
Surname Forename(s)
 
ADDITIONAL DETAILS - PART I


Which category best describes the type of music you compose?*  Help
Title of one composition in which you have a writer/composer interest*  Help
ADDITIONAL DETAILS - PART III


Reason for applying for PRS membership  Help  (Max. 2 lines)
REMINDER


You have completed the Membership Application form and it is ready to be printed, using the Print button at the bottom of the page.
 
Upon pressing print, a Membership Agreement will also be printed using data entered on the Application.  Please check all information carefully.  If any of the details are incorrect you can return to the appropriate section(s), using the Back button, correct the information and print the form again.
 
Once you are happy that the forms are accurately completed you will need to:
  • Sign and date the Membership Application form
  • Sign the Membership Agreement form
  • Supply, in addition to the completed Membership Application and Agreement forms, both of the following in support of your application:-
    • Documentation confirming one performance of one of your compositions Help
    • A photocopy of your birth certificate or passport
Note: Before printing the documents please ensure that your printer is setup to print on A4 or Letter size paper in portrait mode Help
ADDITIONAL DETAILS - PART II


Broadcast/live performance details regarding your composition(s)*  Help  (Max. 20 lines)