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Licensing Request Form

Contact US Form

Name*

Title*

Company*

E-mail*

Address 1

Address 2*

City*

State and Zip*

Country*

Phone

Fax

Website

Has your company licensed before? Explain:*

Project or Product Description*

License Type (commercial or non-commercial)*

Placement

Run Qty/ Circulation

Size of Usage

Territories

Deadline

Duration

Exclusivity

Non-Exclusivity

Images Requested by ID Code*

Date and Time Requested

Phone: 800-962-3373
Email: greg@gregyoungpublishing.com

If you prefer, you can click here for a fillable PDF form. GYP-LicensingRequestForm

Please email completed form to greg@gregyoungpublishing.com

COPYRIGHT NOTICE: All works on this website are protected by U.S. and international copyrights. Copyright registrations have been filed for these works with the U.S. Copyright Office. Greg Young Publishing, Inc. strictly enforces its copyrights against any infringer whether large or small. It seeks the maximum damages and attorneys’ fees to which it is entitled under law against all infringers (attorneys’ fees and statutory damages of up to $150,000 per infringement). For questions regarding copyright infringements, contact our counsel, Jason Aquilino Esq., Email: jason@aqulaw.com, website: www.aqulaw.com

Licensing Request Form

Contact US Form

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