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Synchronization License Request for Broadcast/Film/Industry
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* Indicates required question
Organization Name
*
Name of the organization associated with this license request. If this is for an individual rather than an organization, simply enter the individual's name here.
Your answer
Contact Name
*
Name of the individual in charge of the organization to whom we can address license questions
Your answer
Contact Email
*
Email address of the aforementioned individual
Your answer
Contact Phone
*
Phone number of the contact person/organization requesting permission
Your answer
Mailing street address
*
Mailing address of the organization/institution requesting license
Your answer
City
*
City of the organization/institution requesting license
Your answer
State/Province
*
State or province of the organization/institution requesting license
Your answer
Postal Code
*
Postal (zip) code of the organization/institution requesting license
Your answer
Country
(if outside the USA)
Your answer
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