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Apparel Licensing Agreement document sample
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LICENSING APPLICATION
Haas Outdoors, Inc. dba Mossy Oak Brand Camo
Attn: Licensing Department (Pam Strickland)
P.O. Box 757 · 200 East Main Street · West Point, MS 39773
Telephone: (662) 495-9209 · Fax: (662) 492-0212
INTRODUCTION
Thank you for your interest in pursuing a license with Mossy Oak Brand Camo and the Mossy Oak Brand.
We appreciate the opportunity to put our Brand/Patterns on your products and work with you to provide value
for your company. Please complete the application and return to the address shown above. All information
provided will be confidential and will be seen by only select Mossy Oak Brand Camo employees.
In order to complete your application, we will require a one-time $1,000.00 service fee that populates your
request into our partner base, and includes you in our partner services plan, which your Account Manager can
address specifically with you upon approval of your request for a License.
If you have any questions or concerns, please do not hesitate to contact us at: Mossy Oak Brand Camo Licensing
Department: (662) 495-9209
Please check one:
New Applicant Renewal Addendum
Brands Interested in:
Mossy Oak Camo Patterns Mossy Oak Brand
YOUR COMPANY INFORMATION
Company Legal Name:
dba if different from above:
Physical Street Address:
City, State, Zip:
P.O. Box/Mailing Address (if different from above):
Phone: Fax:
Web Site:
Number of years in business:
Is your company a subsidiary of another company? No Yes
If yes, please list: Company Name:
Address:
Telephone :#: Fax #:
Web-site:
Confidential - Page 1 of 7 – Licensing Application-2010
CONTACT INFORMATION
List key individuals within your organization. If you do not have a specific department or
subcontract out, it would be the person responsible for answering questions in that field within
your organization.
**CEO/President
Name: Title:
Phone: Fax:
Mobile E-mail:
**Marketing
Name: Title:
Phone: Fax:
Mobile E-mail:
**Finance
Name: Title:
Phone: Fax:
Mobile E-mail:
**Sales
Name: Title:
Phone: Fax:
Mobile E-mail:
**Quality Control
Name: Title:
Phone: Fax:
Mobile E-mail:
**Consumer Affairs
Name: Title:
Phone: Fax:
Mobile E-mail:
**Public Relations
Name: Title:
Phone: Fax:
Mobile E-mail:
**Legal
Name: Title:
Phone: Fax:
Mobile E-mail:
Confidential - Page 2 of 7 – Licensing Application-2010
PRODUCTS
Do you currently license the rights to any other Licensed Properties? No Yes
If yes, please list: Property:
Company Name:
Address:
Contact Name:
Telephone #:
E-mail:
Years under License:
Property:
Company Name:
Address:
Contact Name:
Telephone #:
E-mail:
Years under License:
Description of Product(s) for Desired License:
Please see last page.
Product and General Liability Insurance Amount (Required upon execution of Agreement):
Per Occurrence: 1,000,000 General Aggregate: 2,000,000
MARKETING / SALES
Expected date of market entry:
Type of Sales Staff: Company Employed # of People
Rep Groups
Name of Groups:
Name of Groups:
Other:
In which trade shows do you regularly participate?
PROMOTING THE PRODUCTS
Current Advertising Agency: Company Name:
Address:
Confidential - Page 3 of 7 – Licensing Application-2010
Contact Name:
Contact Title:
Telephone #:
E-mail:
MANUFACTURING PRODUCTS
Will you?
Manufacture yourself Sub-contract Both
DISTRIBUTION
1) Identify below (check all boxes that apply) the channels of distribution you currently do business
in and the corresponding percentage of your business it represents.
2) Also, please identify which channels of distribution you are requesting for this contract (check all
boxes that apply).
Do you currently license the rights to any other Licensed Properties?
CURRENT CHANNELS REQUESTED CHANNELS
A) Mass Retailers (K-Mart, Wal-Mart, Target): %
B) Food Stores: %
C) Drug Stores: %
D) Warehouse Clubs: %
E) Department Stores: %
F) Specialty Stores: %
G) Convenience Stores (Mini-Markets): %
H) Home Centers: %
I) Office Products: %
J) Art & Craft (AC Moore, Michael’s): %
K) Food Service: %
L) Fund Raising: %
M) Direct Response (to the Customer): %
N) Others: Please List: %
Channels/Markets
Do you currently distribute outside of North America? No Yes
If yes, please list:
REFERENCES
Please list two credit references (suppliers or vendors):
Company Name:
Address:
Confidential - Page 4 of 7 – Licensing Application-2010
Contact Name:
Contact Title:
Telephone #:
E-mail:
Company Name:
Address:
Contact Name:
Contact Title:
Telephone #:
E-mail:
Please list a bank references:
Company Name:
Address:
Contact Name:
Contact Title:
Telephone #:
E-mail:
** Please enclose the following items:
Licensing Application
3 – Product Catalogs
3 – Company Brochures
Samples of like products you want to license
Comments:
Signature:
Title:
Thank you for trusting the Mossy Oak Brand to help grow your Business.
Confidential - Page 5 of 7 – Licensing Application-2010
PRODUCT INFORMATION WORKSHEET
Licensee Name:
Product Licensed Product Fabric / Licensed Decorator Distribution Licensed Manufacturer Importer Product Mossy Oak Wholesale MSRP
ID No. (Product Description) Material Fabric Process / Licensed Territory (Factory Name) (If using 3rd Brand Pattern Price
(ie. Description Supplier or Field (Geographic) Party) Name Used
Catalog #) Decorator (Wholesale, (See Codes
of Hard Retail, Internet, shown below)
Goods Etc.)
Confidential - Page 6 of 7 – Licensing Application-2010
Pattern Code Trademark Code
Original Break Up OBU Mossy Oak Brand MOBC
New Break Up BU Mossy Oak ® MO
Break Up Infinity BUI
Original ShadowGrass OSG
New ShadowGrass SG
Forest Floor FF
Shadowleaf SL
Shadow Branch SB
Obsession OB
Brush BR
Duck Blind DB
Bottomland BTM
Big Woods BW
Treestand TS
Winter Break Up WTR
Winter Brush WBR
Blaze BLZ
Confidential - Page 7 of 7 – Licensing Application-2010
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