Internal Licensing Approval Form

Please email proposed graphic to bcollins@atu.edu.

Proposed design description

Student Organization / University Department:

Registered Student Organization: Yes   No

Contact:

Phone:

Email:

 

  

Artwork/Product Description:

Product will be: (Check all that apply)

Sold to the general public

Given to general public

Sold/Given to organization members only

Other 

If product is sold, proceeds will be used for:

Organization/Department Fund-Raiser

Given to a Charitable Organization

Special Event (Title) (Date)

Other

Vendor Information

Name of licensed vendor:

Contact:

Phone:

Email:

Please state product color(s) , , ,

 

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