APPLICATION FORM FOR LICENSE AGREEMENTTO PRODUCE BESPOKE ITEMS
requiring commercial use of the World Scout Emblem
for restricted duration/projects/camps
BETWEEN
World Scout Bureau, Inc.(the licensor) hereafter referred to as WSB, legal entity representing the World Organization of the Scout Movement (WOSM), RueHenri-Christiné 5, PO Box 91,1211 Geneva 4 Plainpalais, Switzerland
AND(PRINT CLEARLY)
Scouts Group / District: ...... ……(Licensee)
Name of National Scout Organization / Association :
......
(a copy of this License will be sent to the NSO on behalf of the Licensor for information )
For:...... (Title of Scout Event or Activity)
To be held from: ..../...../ 20.... to: ...../…../ 20…. (Event duration)
This agreement contains the terms and conditions of a restricted duration commercial license to reproduce the World Scout Emblem within bespoke items created for the named Scout event or activity.
Applicable to all level of Scouts Groups, Districts and National Scouts Organizations / Associations for those events and projects of limited duration (one month or less) which require the inclusion of the World Scout Emblem within the design of their own bespoke items to be offered for sale.
Commercial licensing of WOSM-owned designs is managed on behalf of the WSB by:World Scout Shop Ltd.75 Marlborough Road, Lancing Business Park, Lancing, West Sussex BN15 8UG, United Kingdom. Company No 07767748.
The Licensee will pay to World Scout Shop Ltd. royalties equivalent to 5% of the sales value of the items bearing the World Scout Emblem itemised below, before shipping costs, VAT and other taxes.The payment of royalties shall be made in full with this application andin advance of the opening date of the event or activity in accordance with the declaration of product item detailsindicated below. (Add lines, as necessary.)
Please make your payment in GBP (£) Display exchange rate applied when using other currencies)GBP….
You can pay through bank transfer to:
Account name: Scout Shops Ltd.Bankers: Barclays Bank PLC. Account number: 50823686. Bank Sort Code: 20 06 05
IBAN: GB81 BARC 2006 0550 8236 86. Swift: BARCGB22
Or provide your credit/debit card details:
Type: Mastercard/Visa/American Express/other: …………………………………………..
Cardholder name (as it appears on card): …………………………………….
Card number: ……… - ……… - ……… - ……… Expiry date: …../ 20…... Security code (CSC/CVC) :…..
I declarethat the aboveinformation is correct and true and that the use of this License alsoconforms with all design requirements of my National Scout Organization (named above).
Name:: …………………………………………. Position: ……………………………………
Signed: …………………………………………………… Date: …../…../ 20…...
Please return this form with copy of your receipt/confirmation of the payment instruction to