FACILITY AND MERCHANDISE AUTHORIZATION FORM
Attached is the Facility and Merchandise Authorization Form (“Authorization Form”) that must be
completed for each Facility that will produce Disney Merchandise.
Please make as many copies of the attached Authorization Form as necessary so that you can
complete an Authorization Form for each Facility
Once the Authorization Form is completed for each Facility, please send to:
Carolina Gans Telephone: (5255) 5261-0109
Analyst, Social Compliance Fax: (5255) 5261-0102
The Walt Disney Company (Latin America) E.mail address:
Prolongación Paseo de la Reforma 600 2do Piso Carolina.x.gans.-nd@disney.com
Colonia Santa Fe Peña Blanca, 01210, México D.F
Disney will verify the information and determine whether each Facility will be allowed to
produce Disney Merchandise
For those Facilities that are allowed to produce Disney Merchandise, and have not yet
executed a Manufacturer’s Agreement on behalf of Disney, you will be sent a Manufacturer’s
Agreement that must be signed by each Facility
Once it is determined that a Manufacturer’s Agreement is in place for each Facility, the
Authorization Form will be signed by Disney and returned to you
You may begin production of Disney Merchandise as authorized under your applicable
agreement with Disney, once you receive the signed Authorization Form from Disney
You may also present the Form to Customs officials to facilitate the importation of goods if the
Facility is outside the territory where the Merchandise is to be sold. Emergency Customs
letters will no longer be issued
The information you are providing is for use in the Disney Compliance Program only, and
will be kept confidential in accordance with Disney's usual and customary business
practices.
Definition of “Facility”: any manufacturer, factory, supplier, facility or any other entity which produces or
manufactures Merchandise, or components of Merchandise, labels, hang-tags, packaging, or any other item
which bears any Disney Property, Brand or Logo. Do NOT list facilities that only produce generic items such
as cardboard boxes, plastic wrap, or plain buttons, UNLESS these components contain any Disney
proprietary material. Unless they are involved in the actual production or manufacture of Merchandise, do
NOT list agents, business offices or showrooms as a Facility. The Shipper and/or Importer of Record is
strictly the party who transports the goods; if the name is different from that of the Licensee/Vendor or
Facility, please so indicate on the Facility and Merchandise Authorization.
Incomplete or illegible forms will be returned to you for resubmission. Please make
copies of these forms and use the copies to submit your information. Maintain the
original in your files for future use.
G:\Rvipperm\Master\Mfg-Form.Doc
1
FACILITY AND MERCHANDISE AUTHORIZATION
(please type or print legibly in ink)
LICENSEE / VENDOR NAME: TELEPHONE NUMBER:
STREET ADDRESS: FAX NUMBER:
CONTACT NAME, TITLE, E.MAIL ADDRESS:
1. Manufacturing facility name (place where merchandise is 1e. List all other names by which the
produced): manufacturing facility is known:
1a. Manufacturing facility address: 1f. Is this manufacturing facility owned by the
Licensee or Vendor?
_________Yes __________No
1b. Telephone number:
1g. List all authorized merchandise produced in
this facility (as listed on the License
1c. Fax number: Agreement): Attach a separate sheet if
necessary
1d. Contact name and title:
2. Disney property, brand or logo (List all produced in this Facility 4. Shipper Importer of Record (chech
ex: Minnie Mouse, Pooh, etc) one). Provide name and address. Only list if the
transporter of the merchandise is other than
Facility or Licensee/Vendor.
3. Territory where merchandise may be sold:
Once signed on behalf of Disney Enterprises, Inc., this document may be presented to the
Customs authority, in the country specified above as the territory where the Merchandise
may be sold, at the port of entry, to confirm Disney’s authorization of shipments of the
Merchandise identified above. This Authorization shall expire on the first to occur of the following:
(1) the passage of 3 years from the date set forth below, (2) the expiration or termination of the
applicable agreement between Licensee/Vendor and Disney, or (3) the termination of the
Authorization by Disney.
Yours sincerely,
___________________ Date:
Carolina Gans
Analyst, Social Compliance