Permissions form for use of logos & copyrighted material

Thank you for your interest in using Pacific Clinics logos and in reprinting our materials. We have a simple permissions process for these requests. Please read and fill out the information below.

Logos
When using logos, taglines, and names, please follow guidelines as outlined in our Brand Identity and Style Guide at https://www.pacificclinics.org/style-guide. For additional information, please contact Public Affairs and Advocacy Team at publicaffairs@pacificclinics.org.

Reprints
To reprint content from our website, publications, or materials, please complete this permissions form.

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* 1. Organization

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* 2. First and Last Name

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* 3. Title

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* 4. Phone

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* 5. Email

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* 6. Item requested (If published material, please list where it appeared, author, date of publication, and page numbers.)

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* 7. Intended use

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* 8. By what date do you need the permission?

Date

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* 9. Number of desired reprinted item(s)

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* 10. Is your organization a 501©3 nonprofit?

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* 11. How many will view/read materials?

Conditions of reprint permission
  • Permission to reprint any articles, logos, or workshop materials is granted only for one-time use and only for purposes listed in the statement of intended use. Please apply in writing for any additional reprints.
  • Permission does not include the right to syndicate, rent, or loan.
  • If you wish to edit an article, Pacific Clinics must approve the changes before it will grant permission. You may not alter or manipulate logos in any way.
  • Proper credit for reprints must be given with the following line: Pacific Clinics reprinted from (name of publication) with permission.
  • Please furnish one complimentary copy of the reprinted material for which permission has been given.
  • By signing below I acknowledge that Pacific Clinics is the exclusive trademark holder of the Pacific Clinics logos. Furthermore, I agree not to claim any trademark that includes the logos or images that represent them or any variation thereof.
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