Broadcasters tariff (COS-BR) License Date / Time License Type Broadcasters Gym Room Webcaters Narrowcasters Retailers Corporate Events Event Promoters Flat (COS-EPFlat01) Event Promoter Flat (COS-EPFlat02) Exhibitions, Trade Fairs, Amusement Parks Mobile Disc Jockey APPLICATION FORM- EVENTS In this form, A User means a person or company or entity liable to pay royalties for the use of Copyright Protected Works in the Territory of Botswana. Society means COSBOTS, the Copyright Society of Botswana. Copyright Protected Works means works protected under the Copyright & Neighboring Rights Act of 2000 Cap 68:02. Applicant/User’s Details Name of your Company / Individual: Trading Name: Address: City District Mobile Number: Fax: Email Website / URL: Name of signing officer: Vat number: Position: Event Information Event Type: Do you charge admission? Admission Charged Free Admission Name: Date / Time Venue: Venue Capacity: Expected Attendance: Brief Terms and Conditions: 1. Royalties together with applicable taxes are payable by the user to the Society. 2. The information provided by the user in this Form shall aid the Society in calculating appropriate royalties. Signature Clause: Please Tick Your signature By signing below, you agree that: (i)You have read, understood, and accept the above recorded terms (ii) All information you have provided is correct and complete (iii) You have authority to sign on behalf of the licensee Submit Form