B-roll Order Form

Please note that this material is for broadcasters only. The tapes are BETA SP, PAL. This video material is free of charge but we ask that you please credit the IAEA on screen. Please fill out the form below to order the B-roll, and click "Submit".

B-roll title/Subject matter:

Name of your TV station/network:

Country/countries you broadcast in:

Your broadcast audience/outreach:

Your Name:

Your position:

Street:

House number:

Room number (if any):

Town / City:

Province /state(optional):

Postal Code:

Telephone:

Fax No.:

E-mail:

Mobile phone (if applicable):