Request Licensing

Fill out the form below or download this .docx form and email to info@purplehazeproperties.com

Licensee Information

Company Name:

First Name (required)

Last Name (required)

Email (required)

Website

Licensing Proposal

Property

Program / Licensed Products

Term Start

Term End

Territory

Financial Terms

Annaul Sales Projection

Schedule of Payments #1

Payment #1 Due

Schedule of Payments #2

Payment #2 Due

Guarantee

Royalty Rate

Marketing Information

Marketing Date

Ship Date

Distribution Channels

 All Mass Bookstores Specialty Online Gift Convenience

Tradeshows

Marketing/Advertising Plans

Commitment

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