*Indicates Required Field
Please note that Collegiate Images does not provide consumer retail sales. To find a CI licensor, please click here.
First Name*
Last Name*
Company*
Address City State Choose a State Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip
Email*
Phone* Ext
Fax
Contact Via: Email Fax Phone
Priority: URGENT Normal No Rush
Please Describe Your Project Below*
Video No Yes
Still Images No Yes
Client Name (if different from above)
Project Name
Type of Production Book Commercial Corporate Presentation Documentary Feature Film Magazine Article Podcast TV Drama TV Newscast TV Sitcom Video Game Vignette Other
Distribution Rights All-Media All-TV Home Video / DVD Internet Public Display Theatrical Retail Wireless TBD
Territory Worldwide International North America US US - Regional US - Local TBD
Usage Article Art Cover Art Playback Segment Show Open OTHER
License Period One Time One Week One Month One Year Five Years Perpetuity
Delivery Format BetaSP CD (QuickTime) DigiBeta DVD FTP VHS OTHER
Screener Date Needed (MM/DD/YY) <- click image for date selection
Estimated Production/Edit Date (MM/DD/YY) <- click image for date selection
Estimated Release/Air Date (MM/DD/YY) <- click image for date selection
Budget
Project Description
Please e-mail or fax the following additional applicable files.
If unable to send via email, please send via fax 407.404.5741 - attn: Online Request.
Video Footage / Still Images Requested (If ordering from the Ultimate College Screener, please include the three-digit Playback ID number located in the bottom left hand corner of the screen OR the time-code in and out points of the Selects clip you would like to order. (IE. 001 OR TC 1:00:25:00 - 1:00:36:00)
