
Request To License iSixSigma Copyrighted Materials
This form is only valid for articles found on www.isixsigma.com. For articles found in iSixSigma Magazine (the print magazine of iSixSigma),
please visit www.isixsigma-magazine.com/reprint.
| Please provide the following information: | ||
| URL of Article: | ____________________________________________________________ | |
| Title of Article: | ____________________________________________________________ | |
Medium (Check all that apply): |
_______ Print (one edition, $100 per item) _______ Print (all editions, $250 per item) _______ Intranet (30-day use limit, $100 per item) - For longer-term use or special circumstances, please contact iSixSigma copyright requests. | |
| For longer term use or special circumstances, contact us. | ||
| Intended Use (Be specific): | ____________________________________________________________ | |
| ____________________________________________________________ | ||
| ____________________________________________________________ | ||
| Person Making Request: | ____________________________________________________________ | |
| Email Address: | ____________________________________________________________ | |
| Phone Number: | ____________________________________________________________ | |
| Company/Institution: | ____________________________________________________________ | |
| Address: | ____________________________________________________________ | |
| City/State/Zip: | ____________________________________________________________ | |
| Total: | $__________ | |
| Please make checks, drawn on U.S. Banks only, payable to iSixSigma. | ||
| To pay by credit card, please provide the following information: | ||
| Visa, Mastercard and American Express accepted. | ||
| Name On Card: | ____________________________________________________________ | |
| Card Number: | ____________________________________________________________ | |
| Expiration Date: | ____________________________________________________________ | |
| Type Of Card: | ____________________________________________________________ | |
| Mail this form to: | ||
| iSixSigma Copyright Requests | ||
| 321 High School Road NE, PMB 434 | ||
| Bainbridge Island, WA 98110 | ||
| Or fax this form to: +1-206-774-6423 | ||