Please Read the Following Guidelines Before Submitting Your Request

PERMISSIONS APPLICATION FORM

Please read the following guidelines before submitting your request.

To apply for permission to use material from Frederick Warne (Beatrix Potter, Spot, Flower Fairies), Ladybird, Hairy Maclary, The Snowman or BBC Children’s publications, please complete all the fields appropriate to your particular request. Please do not omit any information as this may cause delays in processing your request.

We will do our best to respond to you within six weeks of receiving your completed form; however, in certain cases we may have to consult authors, literary estates or rights holders which might prolong the time of processing your request.

Email:

Post: Penguin Children's Licensing, Penguin Random House, 80 Strand, London, WC2R 0RL, UK

Your Details
Name
Company
Address
Country
Tel
Fax
Email
Whom to invoice
VAT number (if applicable)
Requested Material
Title of Book
Author
Imprint and ISBN
Page number(s)
Exact text to be reproduced or description of images to be reproduced

Usage Details

Please indicate how you wish to use the requested material

Publication
Title
Author/Editor
Publisher
Territory for distribution and language rights requested
Format
Print run
Proposed retail price
Publication date
Extent (no of pages)
Description of your publication
Context in which material would appear
Prop
Title of production
Production company
Format (tv/film etc.)
Date of broadcast(s)
Description of usage and synopsis
(if relevant)
Territory for distribution and language rights requested
Dramatisation/Performance (including TV, Theatre, Musical)
Name of Producer
Provisional Title
Kind of Production
(first or second class)
Provisional production budget
Provisional production schedule (from workshop, rehearsal, first preview to opening night)
Number of performances
(per week / in total)
Territory
Venues (size and box office price)
Language
Duration of run
Treatment
(ie synopsis of plot)/concept
Provisional artwork and marketing plans
Creative Team
(size, contributors (from script, composer, set and costume, lighting and stage))
Cast size
Music used & how will it be presented: (eg orchestra/pre-recorded)
Website
URL where material would appear
Estimated publication date
Approx number of visitors per month
If access to the material will be restricted/password protected, please complete the following
Territory for distribution
Number of users
For any requests not covered by the sections above
please fill in as much information as possible here