MCG image and brand usage request

MCG image and brand usage request
Applicant details
Full name*

First NameLast Name
Phone number*
Email*
example@example.com
Your company/ organisation*
ABN
Your position*
Postal address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Intended use
Name of project*
Please describe how the MCG images, video and/or brand features in this project.*
Are you requesting supply of an MCG image/video, or have you already sourced your own?*
What brand are you hoping to promote?
How will the MCG image and/or brand be used (please tick all boxes that apply)*

Part of an MCG event broadcastNews media reportingStreaming media (ie: TV program including subscription and on-demand, YouTube, podcasts, etc)Merchandise/ productsInclusion in print publication, website and/or social media postingStudent assignmentOther
On what networks, platforms, channels and/or social media accounts will the MCG appear as part of this project?*
What is the estimated audience of this project?*
For example: current social media followers, streaming media viewers, event broadcast audience, merchandise units to be sold, magazines printed, etc
What type of imagery do you intend on using? *
For example: aerial shot, crowd shot, light tower, etc
If you have an example of your intended artwork, please upload it here

Cancelof

Lodging the application
Once the application has been submitted, the MCC will respond within five business days and advise of commercial licensing fees.
Signature of applicant*

By ticking this box and submitting this application to the MCC, I acknowledge that the information provided in this application is truthful and accurately reflects my organisation's intended activity. Should I fail to comply, the MCC may withdraw its approval.
Content Licence Agreement

Approved applicants will be required to sign a Content Licence Agreement, which will be provided by the MCC.
Legal status of application

The applicant acknowledges that this document is an application form only and (without limiting the obligations on the applicant as set out in this document), the MCC does not intend to create any contract or other relationship under which the MCC is legally obliged to provide the applicant with the image/brand usage contemplated in this document and there is in fact no such contract or other relationship in existence.

Any conduct or statement whether prior or subsequent to the issue of this application is not, and the application does not constitute:
1. an offer to contract on the part of the MCC; or
2. a binding undertaking of any kind by the MCC in favour of any applicant.
The applicant represents and warrants that all information provided in the application is accurate at the time of the application and undertakes and agrees to comply any conditions of approval as notified by the MCC, if the
MCC provides its approval.

If upon approval of an application, the MCC discovers that any information provided by the applicant in this application is inaccurate, it may lead to the cancellation of an approval at any time.

Approved applicants must complete a content licence agreement, which will be provided by the MCC.
Should be Empty:

MCG image and brand usage request

Applicant details

Intended use

Lodging the application

Content Licence Agreement

Legal status of application