University Name or Logo
Secretariat
845 Sherbrooke Street West, Room 313
Montreal, Quebec H3A 2T5
Tel.: (514) 398-3948 / Fax.: (514) 398-4758
Secrétariat
845, rue Sherbrooke ouest
Montréal, Québec H3A 2T5
Tel.: (514) 398-3948 / Télc.: (514) 398-4758
APPLICATION FOR PERMISSION TO USE THE UNIVERSITY NAME OR LOGO
Requestor:
Name:_______________________________________________________________________
Department/Company:___________________________________________________________
Address:______________________________________________________________________
_____________________________________________________________________________
Telephone:____________________________________________________________________
E-Mail:________________________________________________________________________
Signature:________________________________________Date:_______________________
Requesting use of:
Colour:
Name:____
Crest: ____
Image:____
Shield:____
Black____ or Red____
What is the name or logo going to be used on?
Poster____Website____Document____Event ____Clothing____ Other____
What is the purpose of the request and how will the name or logo be use:
1