License Request Form

Thank you for your interest in licensing content from the American Museum of Natural History.

Complete the form below to submit a license request.

Questions marked with * are required.

Contact Information

1. First Name *

2. Last Name *

3. Email *

4. Phone *

5. Organization Status *

6. Organization Name *

7. Street Address *

8. City *

9. State

10. ZIP/Postal Code *

11. Country *

12. Name and Job Title of Contract Signatory (if different)

13. Address for Contract (if different)

14. Asset Type *

15. Asset Request Status *

16. Asset Description (include name, ID number, source, and URL if available) *

17. Project Type (select all that apply) *

Publication

Film/Television

Exhibition

Web

Other

18. Project Name *

19. Anticipated Release Date *

20. Desired License Term (standard license term is 3 years; 10 years maximum) *

21. Publisher/Distributor/Venue

22. Author/Creator/Producer

23. Geographic Distribution/Territory

24. Language(s)

25. Description of Project and Context of Requested Asset(s)

Please estimate if unknown.

26. Print Run/Circulation

27. Number of Pages

28. Total Number of Images

29. Retail Price

30. Questions or Comments