Artists of Kolea - Kolea Baker Artist Representative

Licensing for Product Price/Royalty Quote Request Form

* required fields

Filing this form out does not obligate you to license or purchase our artists work.

The offering of this form it for you to use at your option and it is simply meant to be a tool to;
help us collect information about your needs and offer you a basic ballpark estimate of
cost / royalties for further discussion.

Image ID:

*Your Name:
*Company Name:
*Your Email Address:
*Phone number:
Fax number:

*Number of Designs Licensed:
Other (Please describe):

*Product Category:
Other (Please describe):

*Specific Products:
Please describe specific products you'd like to produce:

*Term:
Beyond 5 years (Please describe):
Other (Please describe):

*Territory:
Other (Please describe):

*Type of Market:
Other (Please describe):

Comments: