Type of Request* First Year Win: 2017 (Complimentary) Reneweal ($300 fee) Name of Winning Product(s) and year of win:*Example: Musical Owl by ALEX, 2013Company/manufacturer/publisher/PR firm:*Name* First Last Email* Phone*Renewal Fee Price: $300.00 Payment Method*PayPalCheckCredit card users please note: The charge on your statement may show up as "NAPPA," "L.A. Parent" or "Epstein Custom Media."Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name When paying by check, we will email your e-seal once payment is received. Make checks payable to NAPPA and send to: NAPPA 5855 Topanga Canyon Blvd., Suite 210 Woodland Hills, CA 91367* By checking here, I accept the terms of the NAPPA License Agreement Form. I understand that NAPPA seal artwork may only be reproduced with prior NAPPA approval. This request will not be processed without checking this box.