License Form | Seema Blu

Host Your Event & Order the Film or Music Licensing

Company name

Position

First name

Last name

Email

Address

Phone

Fee 101 Plus @ $5 per Adult

$

Enter your custom amount for events with more than 100 adults; calculate the total as $500 plus $5 for each adult over 100. Example: 125 adults = $500 + (25 × $5) = $625 total.

Which Agent Worked With You?

Enter Agent's Name or put N/A if no Agent.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Please sign below to confirm your authorization and agreement to the terms and conditions for licensing the film.

Expected Streaming Date

Date Signed