WARNER BROS. ENTERTAINMENT INC.

CLIP & STILL LICENSING

SUBMISSION FORM
LICENSEE:
Name:
Company:

Address:

Phone no.: Fax no.:

E-Mail Address:

*Please be advised that, due to company policy, we are unable to process requests sent via at the present time.
All requests must be submitted via facsimile at the number listed below. Thank you.

Copyright Holder(s) of Production / Publisher:

PROPERTIES REQUESTED:
Titles Requested* Year Rights (Office Use Only)

*Please attach any additional titles on a separate sheet.

Clip Still Poster Miscellaneous (Please describe below):
Clip/Still description(s) (or attach):
Screeners Needed? Yes No Screener Episode Name/Number:

REQUESTED USE:
Project/Publication title:

Episode name/number or Publication Edition (if applicable):

Description:

Media:

Territory(ies):

Term: Initial Broadcast/Release Date:

Additional comments:

Please attach synopsis/script pages (clips) or associated text (stills) as applicable and fax to 818-954-3817.

Nothing contained herein shall be deemed to constitute an offer or permission to use the material. Please note that any permission to
use any materials and any proposed agreement are subject to our internal approval process (and third party approvals where

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applicable) and, as such, will not be deemed binding until the appropriate approvals have been obtained and a long form agreement is
executed by both parties, if at all.

For Office Use Only:

C S TVC TVS HBC HBS M PL DR

Reference Number:

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 WBEI Clip & Still Licensing Information:
If you wish to use a clip, still or poster from the Warner Bros. Entertainment Inc., Turner Entertainment Co.,
Castle Rock Entertainment or Hanna Barbera Feature, Television and animation libraries, all requests must be
submitted in writing by fax or mail. Due to the volume of requests we receive, we are unable to accommodate
requests via e-mail.

For your convenience, please complete and submit the WBEI Clip & Still Licensing Submission Form.
Otherwise, please ensure that all requests include the following:

1. Type and purpose of the project or program in which you propose to include the material;
2. Detailed information describing exactly how the material will be used;
3. For Feature Film or Television use, please include a synopsis of the script and relevant script pages
illustrating how the material is to be used.
4. For Publishing use, please include the associated text and the relevance of the material to it.
5. Title(s) of the film(s), television property(ies) or cartoon(s) requested;
6. The number of clips you wish to use and the length of each clip;
7. Distribution of your production including media, territory, length of term, broadcast date, etc.;
8. Name of the copyright holder, if different from your company;
9. Contact information including a phone, fax number and e-mail address. If you are calling from
outside the United States or Canada, provide the international access code for your country and
city;
10. Any additional questions or concerns.

Quoted fees may vary according to use, which are subject to WBEI’s review and approval of the request.

Please be advised that physical elements or selections of footage cannot be pulled or reproduced/duplicated until
a License Agreement has been signed. Please also note that a License Agreement will not be prepared until the
applicable fees have been paid in full.

Please submit your request to:

Julie Heath
Executive Director, Clip & Still Licensing Department
Warner Bros. Entertainment, Inc.
4000 Warner Boulevard
Burbank, California 91522
Recorded Information Line: (818) 954-2298
Phone: (818) 954-1853
Fax: (818) 954-3817

COMMERCIAL / ADVERTISING USE:

If you wish to use material in a commercial or print advertisement, please submit your request to:

Dave Hedrick
Warner Bros. Consumer Products
Phone: (818) 954-5696
Fax: (818) 954-2231

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