Electronic arts permission request form




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ELECTRONIC ARTS

PERMISSION REQUEST FORM

Thank you for contacting Electronic Arts Inc. (EA) regarding your use of Materials as noted below for the purpose detailed herein. Please note that review of your request may take a few weeks. Please do not sign form at time of your original request. Permission is not granted until form is signed by EA, and then countersigned by you.


STEP 1: Please complete Sections I through III in their entirety and return the form, along with the EA Materials you wish to use via one of the following methods:
Email to: PermissionRequests@ea.com Fax to: Permission Requests at 650-628-1422

STEP 2: EA will review the completed form. If EA intends to grant you permission, EA will add the legal notices that must accompany your use, in Section IV, and EA will identify in Section V any other conditions to your use of the EA Material. EA will return the updated form to you with an EA signature, and at that time, you must sign and return.
STEP 3: IF EA grants you permission to use EA Materials, then, at that time you must consent to the terms and conditions of this permission in Section VI below, and return to EA by fax or mail the completed form that includes your consent. IF EA does not grant permission, the form will be returned with an indication that your request has been denied.
I. REQUESTOR

Name:      

Company:      

Address:      

Phone:      

Fax:      

Email:      
II. EA MATERIAL

Product name (Game Title):      

Platform (PC, PlayStation, etc.):      

 Software

 Product Demo

 Game Image

 Web Image

 Cover Image (package)

Other (describe):      
III. REQUESTED PURPOSE (Complete A, B, C, D or E)
A. PUBLICATION*

* Submit relevant portion of text with materials.

 Criticism/Comment

 News Reporting

 Scholarship/Research

 Teaching

Other (please explain):      
Publication Title:      

Topic:      

Target Audience:      

Author(s):      

Publisher:      

Publication date:      

Distribution Method:      

Qty:      


B. PRESENTATION

Nature of presentation:      

Target Audience:      

Date(s) of Presentation:      

Presentation Location:      
C. FILM OR TELEVISION*

* Submit relevant portion of script or segment on VHS with your request. Permission to use music may not be provided. If approved, may require EA Credit or $1,000 fee.

 Advertising

 Documentary

 Editorial

 Fictional

Explain use in detail:      

D. WEB

To be displayed at URL:      

Explain use in detail:      


E. CLASSROOM INSTRUCTION

 Demonstration

 Handout

 Installed on Computers. List number of PCs:

Grade level:      

Class title:      


F. TOURNAMENTS

Game title:      

 Fee based or  Non-fee based

Once you have completed Sections I through III, please return the completed form to Electronic Arts Inc.


DO NOT SIGN FORM AT THIS POINT.
IF EA grants you permission to use EA Materials, then, at that time you must consent to the terms and conditions of this permission in Section VI below, and return to EA by fax or mail the completed form that includes your consent.
IV. LEGAL NOTICES (TO BE COMPLETED BY ELECTRONIC ARTS)

The following legal notices are to be included on or within your use of the Product Materials as identified on this form:

     


V. OTHER CONDITIONS AS DEFINED BY ELECTRONIC ARTS:

     


Electronic Arts Inc.

__________________________________ _______________________

Signature Date
VI. REQUESTOR’S CONSENT (only after EA has granted permission to use EA Materials)

By signing below, the Requestor acknowledges and agrees to the following Terms and Conditions.


This document creates no legal rights or responsibilities unless and until signed by EA and the Requestor accepts the terms and conditions herein. EA grants to the Requestor a non-exclusive, limited use license to use the Product Materials solely as described in this license. Requestor may not use any other materials relating to any EA (or wholly-owned subsidiary) product, such as full motion video, music, voice-over, real-time photos, or any other graphic representations, unless such additional material is pre-approved in writing by EA.
Requestor will include all legal notices set forth in Section IV and abide by any other conditions set forth in Section V.
Requestor shall acquire no rights in or to these Product Materials and may not use them in any way other than as specified in this license. Any use, other than as specified herein, will require the prior written approval of EA. All goodwill associated with the Product Materials, whether gained through Requestor’s authorized use herein, or otherwise, remain the sole property of EA, its affiliates and licensors.

ACCEPTED AND AGREED:

__________________________________ _______________________

Requestor Signature Date

Once EA grants permission to use materials, Requestor must sign above and fax or mail form back to EA.

Fax: PERMISSION REQUESTS at 650-628-1422 Mail to: PERMISSION REQUESTS

Electronic Arts Inc.

209 Redwood Shores Pkwy



Redwood City, CA 94065



NOT VALID UNTIL SIGNED BY ELECTRONIC ARTS, THEN COUNTER-SIGNED BY REQUESTOR Page of



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