Mail to:
SoundExchange
733 10th Street, NW
10th Floor
Washington, DC 20001
CHANGE OF ADDRESS FORM
(US)
Questions? Phone: 1-800-961-2091 Fax: 202-640-5859 E-mail:accounts@soundexchange.com
NOTIFY SOUNDEXCHANGE® OF ANY UPDATES TO YOUR NAME, ADDRESS, TELEPHONE NUMBER,
OR E-MAIL. CHANGES WILL NOT BE ACCEPTED BY PHONE.
(NOTE: COMPLETE NEW W-9 IF PAYEE INFORMATION CHANGES)
Artist or Group Name:____________________________________ SSN or TIN #:___________________
and/or
(LAST 4 DIGITS)
Copyright Owner Name: _________________________________
Payee Name: ___________________________________________
Payee ID #:_____________________
(THAT IS CURRENTLY ON FILE)
(IF KNOWN)
Change Payee Information □ (CHECK IF PAYEE INFORMATION IS SAME AS CONTACT INFORMATION)
New Payee Information
Old Payee Information
Name
Name
Address Line 1
Address Line 1
Address Line 2
Address Line 2
Address Line 3
Address Line 3
Telephone Number
Fax
E-mail
Telephone Number
Fax
E-mail
Change Contact Information
Name
E-mail
Address Line 1
Website
Address Line 2
Myspace
Address Line 3
Facebook
Daytime Number
Fax
Twitter
Evening Number
Fax
Other
This form was completed by:
Print Name: _______________________________
Telephone #: _______________________
Signature: _________________________________
Date: _____________________________
Job Title: _________________________________
E-mail: ____________________________