Digital License Request Form
Your Name
*
First Name
Last Name
What is your company name (If this is a commercial request):
*
What is your email address:
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
What type of license would you like? Single use is one use (one image/one medium), multi use covers several mediums:
*
Single Use
Multi Use
Other
Please provide a link to the image on my website you're interested in licensing. Open the image to full size, then copy the URL and paste the web address here:
*
What size image dimensions do you require? (length/width & resolution)
*
What application will the file be used for? (i.e. Web use, print media, advertising, marketing, billboards, television, film, wall art, etc.)
*
What is the desired duration of the license?
*
One-time use
Up to 1 Year
Up to 3 Years
Up to 5 Years
Other
Where will the requested image be visible?
*
Personal/Home
Business/Commercial
Where will the image be circulated?
*
Locally
Nationally
Internationally
Worldwide
Other
Thank you for your digital image license request. I'll review your specifications and be in touch shortly.
Please press Submit button below to send form to Wicked Good Photography.
Submit
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