| Item | Details / Notes | ✓ |
|---|---|---|
| Artwork Title / Description | ||
| Artist / Copyright Owner | ||
| Licensee (Client/Company) | ||
| Type of Rights Granted | ||
| Media/Usage (where/use on) | ||
| Territory (where can use) | ||
| Duration (time period) | ||
| Exclusivity | ||
| Fee & Payment Terms | ||
| Credit/Attribution Clause | ||
| Approval Process/Revision Rights | ||
| Termination/Expiration Terms | ||
| Indemnification/Warranties | ||
| Deliverables & File Format |
| Artist/Owner Signature: | |
| Date: | |
| Licensee Signature: | |
| Date: |