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Request for Limited Non-exclusive License

A limited non-exclusive license may be available for certain purposes. If you would like to pursue such a non-exclusive license, then please provide the following information:

*First Name:
*Last Name:
*Company Name:
*Email:
*Phone:
*Address:
*City:
*State:
*Postal Code:
*Country:
Describe specific
image of interest:
Purpose:
Text to accompany
the Crown image
is as follows:
Comments: