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American Zoetrope

The Virtual Studio

© 1996-2013
American Zoetrope
All trademarks used herein are exclusive property of the Coppola Companies

Clip Request
To request permission to use a clip or still to use for display, please fill out the following information, and a member of our staff will contact you.
Please note that we cannot accept pitches of film ideas here, nor can we forward messages to members of the Coppola family.

Your Full Name:

Your Email Address:

Your Phone Number:

Title: (i.e. Apocalypse Now)

Description of Clip or Still:

Provide context on how requested
material is going to be used:

Length of Clip:

Usage:

The program or material entitled:

Channel or location in which Licensed Material will be
exhibited or displayed: (i.e Museum or Gallery)

Media: (i.e. TV, Home Video, etc.)

Exhibition(s): No more than
[NUMBER] ([#]), or for a period not to exceed

Term:

Territory

Additional Comments:

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