Permission Request Form for ETS Materials Permission Request Form for ETS Materials Please complete all areas that apply and leave any non applicable boxes blank Requester’s Name Company/Institution A[.]
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Permission Request Form for ETS Materials
Please complete all areas that apply and leave any non-applicable boxes blank
Requester’s Name: Company/Institution: Address: _
Country: _
Phone Number: _
Email: _
Date permission is needed by:
(Please note that there is a standard 4-week turnaround time)
ETS Material Requested
Title of ETS Publication: _ Website Source: _
(If you do not have an active link where the ETS material is stored, please provide a copy of the
ETS content you are requesting.)
Copyright Year: _Edition: _ Page(s): Please provide any additional information regarding the ETS material you wish to reproduce below:
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Clear Form
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Your Product
Will your material be used in (check all that apply):
Research?
Dissertation?
Test/Preparation?
Other (please describe): _ Please provide your intended use of ETS materials:
Title of finished Publication/Product:
Type of Product (print material, electronic, etc.):
If electronic, do you intend to use the material on a secure (password protected) website,
non-secure website, or both?
Editor: Author: _ Anticipated Publication Date: _ Distribution Territory: _ Number of Print Copies: _ Number of Electronic Copies: _
If your request is approved, we ask that you submit a copy of your finished product
identified with your unique ETS reference # to permissions@ets.org
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