ESV Print Permission Request Form

Name:
Email Address:	This is how we will follow up with you.
Address (street, city, state, zip, country):
Phone number:
Are you an individual or a company?
Company name:
Company website URL:
Select appropriate use:
How many copies will be produced?
For whom?

Detailed Description of Work that Will Quote ESV

Title:
Author:
Contents and use of ESV:
Estimated page count:
Target audience:

ESV Usage

What percentage of the work's total text will be from the ESV?
Individual verse count:
Bible passages included in work:
Check box if a whole book will be used:
Please list which books:
Check box if you plan to edit or revise the ESV text:
Explain:

Distribution

Publishing plan:
Publisher name:	Publisher name is required to receive permission.
Expected publish date:	YYYY-MM-DD
How many copies will be printed?
Check box if this work will be sold as a product:
List retail price:

Select any additional formats

Print only:
Ebook:
Audio:

List all distribution channels: