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?

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?

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