Student Use Form – 2 :: Trademark Licensing

Note: Before completing this form, you need to decide on an approved vendor.×

* indicates required field

Select a Licensed Vendor:*

Organization Type:*

Student Club
Club Sports Team
Greek Organization

Note: Please familiarize yourself with trademark usage information pertinent to your organization type before submitting this form.

Organization Name:*

Requester First Name:*

Requester Last Name:*

Email:*

Phone Number:*

Required Format: 123-456-7890

Brief Description of Request:*

This will be the subject line of the email request. Max length 90 characters.
Example: "NC State branded koozies for Video Game Club"

Product or Item Type:*

Quantity:

Title of special event, if any:

Date of event:

Additional Information (including special authorized vendors and "other" product types):

Attachment:

Acceptable file types: doc,docx,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 16mb.

Attachment (optional A):

Attachment (optional B):

Attachment (optional C):

Please enter the CAPTCHA code above:*