Request form for permission to translate

This form is for permission to translate 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
To which language(s)?
Will you translate the entire publication?	Yes No
If no, please specify which part you will translate?
What is the planned format?	Print Electronic
Will you be the distributor/publisher of the translation?	Yes No
If no, please supply the name and contact details of the publisher
Please supply the name, title and contact details of the person authorized to sign a contract on behalf of the publisher, if you know them
Will you/the publisher sell this product?	Yes No
If yes, will it be:	at a low price just to cover costs for profit
Intended print run (number)