Permissions and Licensing Request Form
Please submit your requests to use Anike Foundation’s online content here
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Email *
Today's Date
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Your Name *
Email Address *
Country *
What type of Material(s) are you interested in licensing? *
Required
Please provide a link to the Anike Foundation Material(s) you would like to license from us *
Who is the Licensee? *
(i.e. name of company, publisher, production company, network)
Provide a description of how the Material(s) will be used. *
Where will the Material(s) be republished, in a textbook, documentary, newspaper, etc.? What term of use do you require (i.e. 1 year, perpetual, etc.)? What territory? Please be specific.
What media do you require? *
Required
If you are licensing video, please include the timestamps you are interested in using *
(Ex: 00:00-00:10 or N/A if not applicable)
If you are licensing materials for use in print, please indicate the anticipated print run *
(please provide a number or N/A if not applicable)
What is your budget for licensing this material? *
*Please provide an amount in USD
What is your anticipated / desired use date? *
MM
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DD
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