Copyright Permission Request Form | eServices Prince Edward Island

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Personal information on this form is collected under section 31 of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c.F-15.01, as it relates directly to and is necessary for the provision of use of official Government of Prince Edward Island wordmark, publications and images. If you have questions about this collection of personal information, you may contact Communications at 902-368-6326.

Please note that requests may be subject to a processing fee pending quantity requested.

Identification

First Name

Middle Initial

Last Name

Address 1

Address 2

City, Town, or Community

Province

Postal Code

For example: C1B 0X1 or 12345

Country

Telephone Number

For example 902-555-5555

Email Address

Name of Organization