TRADEMARK AND LICENSING
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Internal Campus Department, Unit, Student Organization, Art Approval/Royalty Waiver
Waiver Information
Please fill out this form, attach your artwork, and click on submit at the bottom of the form. You may also deliver the form and design directly to the office of Trademark and Licensing located on 1420 Pendleton Street, Office 221 in the Thornwell Administrative Annex, Columbia, SC, 29208. We will respond as quickly as possible.
Once the office of Trademark and Licensing has approved and returned this form, it is the contact’s responsibility to provide the licensee/manufacturer with a copy of this document for their files.
Departments and recognized student organizations must adhere to the
Authorization Policy for student organizations and university departments
.
Department/Unit/Student Organization Name:
*
Contact:
*
Phone:
*
(###) ###-####
Fax:
(###) ###-####
Email:
*
Item or Product:
Product is to be used / distributed as:
First Name:
*
Last Name:
*
Manufacturer Information
Manufacturer:
*
Contact:
*
Phone Number:
*
(###) ###-####
Street Address:
*
Address2:
City:
*
State | Zip:
*
SC
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Attach Design Here:
(If design is not ready, please email or fax to
kenc@mailbox.sc.edu
).
Columbia, SC 29208 • 803-777.7478 •
kenc@mailbox.sc.edu
©
University of South Carolina Board of Trustees