Request form for permission to quote

This form is for permission to quote WHO/Europe material. We will endeavour to process your request in no more than ten working days.

Name of institution
Type of institution
Contact person
Postal address
Country
E-mail address
Phone or fax number
Printed material Title of the publication/year/ISBN or document number
Web material Title/URL
Other Please specify (e.g. CD-ROM) and give title/year
Portions of the book/printed material or Web page that you wish to use, including page numbers or sections, or numbers of tables or figures
Product title where the material will appear
What is the purpose behind the use of the material (such as book, course material, promotion of product or service, etc.)? Please describe