GEN REQ
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INFORMATION ABOUT THE REQUESTER AND THE WORK
Your Name *
Email *
Phone Number *
Licensee *
Name of organization/department/college that is using the work and will pay for licensing, if needed
Licensee Contact *
Email of point person who will approve license terms and authorize payment (if applicable).
What is the Category of the Requested work? *
Title of the Work *
Source of the Work *
Where did you find the work?  Please include url, if applicable.
Clip(s), Portion(s), Page(s) Requested *
If using video, please provide time codes.
Author(s) *
Please identify the author, songwriter, artist, or other creator of the work.
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