(e.g., if you are associated with a group, please describe its mission and record):
(e.g., 300 words from an article, a particular book chapter, 2 minutes from a video)
(include a description of the size of the audience for the re-use and whether the product using our materials will be sold and at what price):
(Please identify as specifically as possible—geographic area, size of audience, commercial or non-commercial)
(If you want permission for a time period, specify the term.)
(Please include any technical specs that may be required.)
(if so, please specify the amount), or are you seeking to broadcast the video/audio for free?