Copyright Permission

Please submit this form to request permission to reproduce materials published and owned by Arizona Christian Counseling LLC, including all materials using the Christian DISC® trademark. Include the following disclaimer to any material used: "Christian DISC® is a registered trademark of Arizona Christian Counseling LLC. Copyright 2021 Arizona Christian Counseling LLC. All Rights Reserved. Used with Permission."

* Indicates required field

Name *

First

Last

Company/Organization *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Content Usage

Specific content that you would like to use: *

Name of your publication or work: *

Short description of the content of your publication or work: *

Projected publication date *

We agree to include the following disclaimer to any material used: "Christian DISC® is a registered trademark of Arizona Christian Counseling LLC. Copyright 2021 Arizona Christian Counseling LLC. All Rights Reserved. Used with Permission." *

Agreed

Submit

How to Know If You Need Counseling