Requester contact information
Please provide your contact information.
Company / Organization
Copyrighted material intended to use
Please provide as much detail concerning the copyrighted materials you desire to use.
Title of copyrighted material
Publisher / Imprint
Publishing / Copyright year
What do you desire to use?
Kind of material
Describe in detail the material you desire to use (state the excerpt, video, text, song, image, etc. Add links if helpful.)
In what medium will you use the copyrighted material?
Film/TV or other similar use
Describe in detail how you will be using the copyrighted material or what rights you seek.
Will you generate revenue from using the copyrighted material? (If yes, please explain in "Other".)
Send me a copy of my responses.
Never submit passwords through Google Forms.
This form was created inside of Ligonier Ministries.