Campus/Department Permission Form

Please complete the form below. Note that fields marked with an asterisk (*) are required.

Organization/Department Name:

E-mail Address

Contact

Phone Number

Item or Product

Quantity

Method of Distribution - Select -DepartmentFundraiserGiveawayMembers Only

Trademark(s) on Merchandise Georgia Institute of Technology (word) gtword|Georgia Tech (word)Georgia Tech (word)Buzz (word)Buzz (artwork)Interlocking GT

(Choose as many as apply.)

Licensed Manufacturer

For an official list of Georgia Tech Licensees, please click here.

For an official list of Georgia Tech Licensees, please click here.