Streaming Media Request Form

Please remember: this is a costly and time consuming process.

You are responsible for providing an account number to be billed for the cost of the rights. We are dependent upon distributors getting back to us and we cannot control the amount of time this takes.

Example: Films for the Humanities and Sciences is currently charging $75 for one year or $150 for three years of streaming access.

You will be contacted with the exact cost of the permissions before the transaction is complete.

Warning: Distributors of major motion pictures are not likely to respond to these requests in a timely manor.




Course Name

Course Number


Account Number

Media Title