Video Licensing Request

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First Name(Required)

Last Name(Required)

Company Name(Required)

Job Title(Required)

Email(Required)

Phone(Required)

Which Sentis video(s) would you like to use?(Required)

Neuroplasticity

Emotions and the Brain

How the Brain Works

Areas of the Brain

Limitations of the Brain

Conscious vs Subconscious Thinking

The Social Brain

Managing Stress for Safety

Other

Is this use for commercial purposes?(Required)

Please describe how you intend to use the Sentis material(Required)

Please describe the target audience including how many people are expected to view per year(Required)

In what geographical area (e.g. state or country) do you wish to use the Sentis material(Required)

How long do you wish to use the Sentis material?(Required)

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