Atom Central Footage Request Form

If you are interested in obtaining the rights to footage from us, please use the below form, and we will be in touch shortly to provide you with a quote and make arrangements for payment.

Your information is safe with us, and we will never share it with anyone.

Name:
Company Name:
Company Address:
City:
State & Zip:
Phone:
Email:
Website:
Shots / Clips / Links you are interested in:
Total Length in Seconds (If known):
How do you plan to use the footage:
Date the Marterial is needed:
Name of production:
Licensing requirements:
Territories:
Number of Transmissions:
Do you have your own FTP or Data Transfer Services:
Payment Method You Will Use:
How did you hear about us?
Comments:
This form is intended to send me all info I need to provide you with an accurate quote. Payment and a fully executed agreement must be received before the time of the delivery of the material requested.