For Approval to Use RedPalmWeevil.com brand Features
Print this form, provide the required
information on separate sheets, and fax your request to
011 966 3 5802073, or scan it and email it to email@example.com .
Exact name and title of organization and/or person requesting permission,
and contact information (e-mail, phone, fax, mailing address).
Describe and attach the
sample of visual that features.
Specific description of materials in which www.redpalmweevil.com
or copyrighted materials will appear.
Send mail to firstname.lastname@example.org
with questions or comments about this