PA Wilds Merchandising License Application

PA Wilds Merchandising License Application
This form is for applying to use the PA Wilds logo on saleable items such as shirts, baseball caps, mugs, stickers and other items. The Merchandising License Use does not apply to any Marketing or non-saleable items. Approval for Merchandising Licensing is dependent on the business and application.

If you are looking to apply for the PA Wilds Marketing License Use, please fill out the application found here.
Name of Interested Organization*
Name of business applying for use
Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email*
example@example.com
Physical Address of Business

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Website of Business
Facebook, Instagram or other Social Media Link
Please write as "Social Media Name - URL"
One of the main requirements to become a PA Wilds Licensee is to first be a part of the PA Wilds Cooperative.
Is the Licensee stated above a member of the Wilds Cooperative of Pennsylvania?*

YesNo