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ESV Artwork Permission Request Form

Name:
Email Address:	This is how we will follow up with you.
Address (street, city, state, zip, country):
Phone number:
Are you an individual or a company?
Company name:
Company website URL:

Select request:
Date of last permission:

Detailed description of Artwork that will quote the ESV

Product line type:
Number of unique products you plan to produce within product line:
Number of copies you plan to produce of each unique product:
Materials/media used:
Approximate size:
Approximate number of verses featured on each product:
What percentage of the product's total text will be from the ESV?
Check box if you plan to edit or revise the ESV text:
Explain:
Check box if this product will be sold:
List retail price:
Select requested formats:
List all distribution channels:

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