Contact Name:
Company:
Client:
Phone:
Fax:
Email:
Web Site URL:
Image ID #'s:
Rights Requested:
Select Rights Request Here
One-Time Use Only
Multiple Uses
One Time Rights: A single image being used in one particular way.Multiple Rights: You are interested in using one image in multiple ways or using mutiple images.
Please use the comments section below to more fully describe your needs.
Type of Use: Choose the type of use from the following:
Advertising/Promotion Uses:
Select type of Advertising/Promotion use here
Event Program
Advertorial
Consumer Magazine - Advertising
Trade Magazine - Advertising
Newspaper National - Advertising
Newspaper Regional/Free - Advertising
Billboard
Poster/Transit Ad
Point of Purchase Display
Web Site Ad or Banner
Movie Posters
Television (advertising)
Direct Mail/Brochures:
Select type of Direct Mail/Brochures use here
Annual Report
Promotional Brochures/Leaflets/Inserts
Governmental reports
Catalog
Corporate Cards/Invites
Coupons/Tickets
Newsletters - External
Folders
Promo Postcards/Envelopes
Direct Mail A3
Direct Mail A4
Direct Mail A5
Direct Mail A6
E-Mailer
Other
Editorial Uses:
Select type of Editorial use here
Consumer Magazine
Trade Magazine
Newspaper - National
Newspaper - Regional/Free
Book - Retail
Book - Joint Paperback and Hardback
Book- Academic/Educational
Travel Brochures
Travel Guides/Directories
Educational Magazine
Educational wallchart/posters
Inflight magazine
Television (Editorial)
Editorial - Online
Internal Newsletter
Consumer Goods:
Select type of Consumer use here
Calendar
Packaging - Boxes and containers
Packaging - Software/CD/Music
Credit/Phone/Store Cards
Garments/ T-Shirts
Mouse Pads
Postcards
Greeting cards
Greeting card and E-card
E-card
Poster Retail
Key Chains, Badges and Stickers
Gift stationary (bags/wrap/tags)
Price Tags/Menus
Puzzles
Other
Display:
Select type of Display use here
Trade Show /Promotional Display
Non Commercial Display
Shop /Restaurant decoration
Multimedia:
Select type of Multimedia use here
Web - Commercial/Corporate
Audio Visual
CD-ROM - Promotional
CD-ROM - Educational
CD-ROM - Entertainment
Screen Saver
Internal Business Uses:
Select type of Internal Business use here
Internal PowerPoint/ Presentation
Internal Brochure (upto 5000)
Internal Poster/décor (1 use only)
Personal
Image Size:
Select Usage Size here
Spot Use 2 inches
up to 1/4 page or screen
up to 1/2 page or screen
up to 3/4 page or screen
up to Full Page or screen
up to 1 and 1/2 pages
up to Double Page Spread
Print Run / Circ:
Select Print Run here
One Copy Only
up to 5 copies
up to 20 copies
up to 50 copies
up to 100 copies
up to 250 copies
up to 500 copies
up to 1,000 copies
up to 2,500 copies
up to 5,000 copies
up to 10,000 copies
up to 25,000 copies
up to 50,000 copies
up to 100,000 copies
up to 150,000 copies
up to 250,000 copies
up to 500,000 copies
up to 750,000 copies
up to 1 Million copies
up to 2 Million copies
up to 5 Million Copies
Over 5 Million copies
Insertions:
Select Print Ad Inserts here
One Insertion Only
2 Insertions
3 Insertions
4 Insertions
5 Insertions
6 Insertions
7 Insertions
8 Insertions
9 Insertions
10 Insertions
11-15 Insertions
16-20 Insertions
21-25 Insertions
Over 25 Insertions
(applicable for Print Ads only)
Placement:
Select Image Placement here
Front Cover
Wraparound
Back cover
Inside cover
Inside Use
Web Site - Banner / Pop Up Ad
Web Site - Home Page
Web Site - Home page and secondary page
Web Site - Secondary page
Duration:
Select Duration Period here
1 month
1-3 months
3-6 months
6 months to 1 year
up to 2 years
up to 3 years
up to 5 years
more than 5 years
Geographic Dist List:
Select Geographical Areas here
Worldwide
United States Local or Regional
United States - All
North America
United Kingdom
Europe 1-3 countries
Europe 4-5 countries
Europe - All
South America - 1 country
South America 2-3 countries
South America 4-5 countries
South America - All
Asia - Major
Asia - Minor
Middle East
Africa
Australia NZ
Indonesia
Select Exclusivity:
Non-Exclusive Use
EXCLUSIVE USE - One Industry
EXCLUSIVE USE - ALL Industries
Comments:
