Title Report

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Name *

First

Last

Email *

Company Name

Address

City

State

Zip Code

Telephone No.

Project Title

Legal Opinion

Yes
No

Proposed Use

Theatrical Motion Picture
Television Motion Picture
Television Series
Podcast
Digital/New Media

Other Use(s)

Television Network/Streaming Site

Brief Plot Synopsis

Additional Information

Schedule of Report

7-10 Business Days
2-3 Business Days
Next Business Day

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Wire Transfer
PayPal (invoice emailed separately)

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