EmailMe Form - Copyrighted Material Permission Request Form

Your Name *

First Last

Your Email Address *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Name of your organization (if any):

What URLs would you like to use the intellectual property from?

(List all that apply)

What part of the work will you be reproducing specifically?

(Include "starting from" and "ending at" text, if text will be reproduced)

If images will be used, please list each one's specific URL as it's hosted on our server.

(One image per line, please)

On what media will this information be used? Please be specific.

(Class handout, reptile expo flyer, customer care sheet for breeders, etc)

Printed Flyers Only: Please describe how, when, and how many flyers will be made

Website Posting Only: Please list the URL, company/organization, and domain owner's name

(Please note our list of "Permission NOT Granted" applications above!)

Will you provide a draft copy before publication/use if requested?

Yes

No

Please Note:

All uses of our Intellectual Property are approved or denied at will. Please understand that every person who works at NEHERP (8-12 people) depends on our website's traffic & revenue to put food on their tables. We love this hobby and love the idea of free information, which is why all of our articles are totally free. Please give us a break and go easy on us if we don't approve you for any reason. We hate saying no, but we've invested a lot of time & effort in our website's materials since 2009, and we're protective of our business.

By signing, you confirm that all information provided on this form is accurate to the best of your knowledge. You also understand that this form is a REQUEST only, and does not in any way guarantee permission to use the intellectual property in question.

Signature Here: *

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