Angel Policy Form

Please complete the following Angel Policy Permission Form. Upon approval, you will be contacted. Please note that by submitting this Angel Policy Permission Form that you acknowledge that you have read and agree to the terms in the Angel Policy Guidelines.

This information is for internal use only and will not be distributed to any other parties. Please see our Privacy Policy for more information.

* Indicates a required field

Personal Information
*First Name
*Last Name
Company
*Address Line 1
Address Line 2
*City
*State/Province	Please Select Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas (except Canada) Armed Forces Europe, Canada, Africa, Middle East Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territory Nova Scotia Nunavut Ontario Prince Edward Island Québec Saskatchewan Yukon Territory Other
*Zip/Postal Code
*Phone	(xxx-xxx-xxxx)
*Email
Items Used
*Name and Description	Separate multiple items with a comma.
*Item Number(s)	Separate multiple items with a comma.
Project Information
Briefly describe how designs will be used (e.g. card, gift item, craft project, etc.)
*Number of items you plan to create
*Approximate date of project
Location where items will be sold (e.g. bazaars, craft show, community fundraiser)
*City
*State/Province	Please Select Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas (except Canada) Armed Forces Europe, Canada, Africa, Middle East Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territory Nova Scotia Nunavut Ontario Prince Edward Island Québec Saskatchewan Yukon Territory Other
* I have read and agree to all the terms outlined in the Angel Policy Guidelines.