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Illustration:  -
Time & Date of Request: Sep 17 2024, 2:56PM

Client Information
Name:  First    Last
Phone: 
E-Mail: 
Company Name: 
Company Address:   Street
   City   State   Zip
   Country/Region
Company Category: 
If Other: 
Name of End User:   (if other than your company)

Usage Selection Information
Intended Illustration Usage: 
Our definition: 
  Please explain if "other": 
 
Please fill out either the print or media information section, as it applies to your request.

Print Information
Where will it appear: 
("Print" refers to Magazines, Journals, Books, Newsletters, Brochures, etc.)
How often will it appear: 
Publication Size:   
If "other": 
Publication Print Run: 
  (Brochures, Direct Mail Packages, Booklets, Posters, Reports, Newsletters, Handouts)
Periodical Circulation: 
Publication Distribution: 
Please specify locality, region or country(s): 

Media Information
Where will it appear: 
How often will it appear: 
Website illustration size:   (Select the longest dimension.)
Major or minor use: 
(if broadcast, video or film) 		  Major (more than 10 seconds or full-frame/close-up)
 Minor (less than 10 seconds)
Distribution: 
Please specify locality, region or country(s): 

Copyrights Requested
Length of License: 
If "other": 
Exclusive or Non-Exclusive: 
Non-Exclusive (Highlight Studios may license the illustration to other entities during the time period specifed.)
Exclusive (Highlight Studios will not license the illustration to other entities during the time period specified.)
Limited or Unlimited: 
Limited (Restricted to one publication or presentation.)
Unlimited (Unrestricted number of publications or presentations in one medium or market for the time period specified.)
Specify details: 
Other helpful information: 
  (Project constraints, budget, etc.)