Exhibitor Feedback Survey

Before submitting your request, please be sure to review the information on our Permissions & Reprint Requests page at www.seca.info/permissions. Please allow 2-3 weeks for a response.

What is the name of the SECA publication are you requesting permission to use?*

Who is the author?*

What is the publication year?*

If request is for Dimensions of Early Childhood please provide the volume and number? Otherwise type n/a.*

Please provide the page numbers for all text you intend to use. *

Will you reprint or adapt the material you plan to use?*

ReprintAdapt

How do you intend to use the SECA material? Please be as specific as possible.*

What is the estimated print run, downloads, digital access or quantity of the content to be distributed?*

What length of time do you wish to use the material? (Ex. One semester, two calendar years, etc.) *

What is the estimated retail price or subscription fee of the product in which you want to include SECA material? *

Is there any additional information you would like to provide about your request?

Is your organization/company commercial or non-profit?

CommercialNon-profit

Name*

First NameLast Name

Organization/Company name*

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please verify that you are human*