Intellectual Property Permission Request Form

To order services and products please visit one of our websites.

Thank you for your interest in obtaining permission from Pyramid Educational Consultants for the use of our intellectual property. Please complete the form below so that we can give full consideration to your request. Those items marked with an asterisk are required fields. Ensure that all required fields are completed. Incomplete forms will not be processed for review.

On submission of this form, you will receive a confirmation email. If you do not receive this email, please contact PGMSC at pgmsc@pecs.com.

* required fields

*First Name: 

*Last Name: 

*Name of Organization: 
(If not applicable please enter "none")

*Type of Organization: 

*Telephone Number (with country & area code): 

*Email Address: 

*Street Address 1: 

Street Address 2: 

*City: 

*Postal Code: 

*Country: 

*State/Province: 

*Permission Being Requested: 

Comments: 

Please prove that your human:

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