NCLD | Reprint Permission Request Form
The National Center for Learning Disabilities, Inc. (NCLD) is pleased to consider your request. Please complete this form and return it to us so we can review your request. We will use the contact information you provide below to communicate with you regarding your request. This form covers requests for the following NCLD properties: * Please note that permission will only be granted for a term of one year.
Email *
Name: *
Title: *
Organization: *
Are you a nonprofit? *
Adress: *
Phone:
Email: *
Website Link: *
Request to reprint the following material(s): *
Required
Title: *
URL: *
Description of intended use: *
Method of distribution: *
Quantity to be printed: *
URL of the site: *
I, the undersigned, agree to the terms and conditions as described on The National Center for Learning Disabilities Reprint Permissions Guidelines, located on NCLD.org
*
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