Material Use Permission Request Please completely fill out the following form to submit a permission request to the Willow Creek Association (WCA) for use of Willow Creek Resources (books, curriculum, music, etc.), in any form and for any purpose. Fields marked with an asterisk (*) are required. NOTE: A permission fee may apply to requests granted. *Your Name: *Church/Organization: *Mailing Address: *City, State: *Zip: Country:    (if outside of U.S.) *Phone: Fax: *Email: WCA Membership #: (You do not need to be a WCA Member church in order to submit a request) *Title of Willow Creek Material: *Author/Speaker/Artist: *Exact Material Portion You Wish to Use:    (include page numbers as applicable) *Explanation of Intended Use: *# of Copies Requested: Retail Price:    (if product will be for sale) *Date Needed: (We will try to respond by the date you request, but cannot guarantee that we will meet your deadline.) Any other information unique to your request or that you think we should know: