Copyright Licence Application

Perfidious Alban Enterprises International

In order to legally reproduce any of those names which have been registered by, or on behalf of, Perfidious Alban Enterprises, Perfidious Alban Publishing or any of its subsidiary companies, this copyright licence application form must be completed and submitted in its entirety and all related fees paid in advance prior to any lawful use by a third party of the respective names.

A complete list of these names is available, for a small fee, from our solicitors -
Josiah J Jenkins Inc. (in association with Messrs. Dewey, Cheatem & Howe)

1. Full Name of Applicant :
   

1. Full Address of Applicant :
   
   
   

1. Describe your reason for application :
   

1. Have you ever previously infringed on the copyright ?
     Yes
     No
     Maybe

1. You're really 100% certain about that, are you ?
     Yes - Proceed
     No - Quit

1. Do you require a single or a muliple use licence ?
     Yes
     No

1. Which one is it you want ?
     Single Use
     Multiple Use

1. Will the copyright, if approved, be used in a public place ?
     Yes
     No

1. How often do you estimate this will be ?
     Never
     Every Hour
     Every Day
     Every Week

1. Do you have sufficient funds to purchase a licence ?
     Yes

1. Please insert your banking details below :
   Bank or Building Society
    
   Account Number
    
   Sort Code
    

1. Credit Card
     Visa
     Mastercard
     American Express
     Other

1. Please insert credit card details below :
   Card Number
    
   Expiry Date :
    
   Security Code :
    

1. Are you absolutely certain you require a licence ?
     Yes
     Maybe
     Perhaps Not

1. If you want to 'phone a friend', enter their telephone number below :