JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Copyright permissions
REQUEST FORM
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Requester contact information
Please provide your contact information.
Name
Your answer
Company / Organization
Your answer
Address
Your answer
Phone Number
Your answer
Copyrighted material intended to use
Please provide as much detail concerning the copyrighted materials you desire to use.
Title of copyrighted material
Your answer
Author
Your answer
Publisher / Imprint
Your answer
Publishing / Copyright year
Your answer
What do you desire to use?
Kind of material
Text
Video/ Audio
Music
Illustration/ Image
Other:
Describe in detail the material you desire to use (state the excerpt, video, text, song, image, etc. Add links if helpful.)
Your answer
In what medium will you use the copyrighted material?
Print
Digital/ Website
Live Presentation/Performance
Broadcast
Musical composition
Film/TV or other similar use
Other:
Describe in detail how you will be using the copyrighted material or what rights you seek.
Your answer
Will you generate revenue from using the copyrighted material? (If yes, please explain in "Other".)
Yes
No
Other:
Clear selection
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Ligonier Ministries.
Report Abuse
Forms
