Video Provision Request Form

*The information you provide will be used solely for responding to your request.
*We may be unable to respond if your request contains incomplete or incorrect information, or depending on the content. Please note that it may take approximately one to two weeks to receive a response.

■Applicant Information
Requesting Party　【Required】
Company / Organization Name
Representative Name　【Required】
Country / Region　【Required】
Address　【Required】
Main Phone
Optional
FAX
Optional
Website
Optional
Applicant Name　【Required】
Email　【Required】
Mobile
Optional
■Project Information
01.Title　【Required】
02.Category　【Required】
Select all that apply
Other （please specify）
03.Release / Broadcast Schedule　【Required】
04.Distributor / Broadcasting Station / Web Media　【Required】
05.Requested Video Footage　【Required】
Please specify the video ID number(s) and title(s) from our "Video Library" page.
06.Usage Purpose　【Required】
e.g., Usage at the beginning of a travel program to introduce Kobe.
Note: This Footages is not available for personal purposes, advertising videos for a company and product, or wedding videos.
Terms of Use　【Required】
Please review our [Terms of Use] here.
Screen credits　【Required】
Submission of the final product　【Required】
Project Proposal / Summary (File Upload)　【Required】
Please attach materials that provide an overview of your project.
Note:  Files of up to 5MB can be uploaded. If your file exceeds 5MB, or if you are unable to upload it using this form, please send it by email to film@kcva.or.jp.

Click below to upload your project files.
Additional Information
Optional
If you have any further details or special requests, please let us know here.