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Reprint Permission Form

All of our books and published materials are protected by copyright and trademark laws. However, we do occasionally grant permission to reprint excerpts for limited distribution for educational purposes only. To request permission to reprint, please complete the form below. Once your information has been received, it will take at least one week to process. If your request is granted, you will be provided a reference to include on the document.

Person making the request

* First Name

* Last Name

Title or Position

Institution/Organization Name

Complete Mailing Address

* Street

* City

* State

* Zip

* Phone Number

* Fax Number

* Valid E-mail Address

* Title of Publication to be Copied

* Specific Pages/Sections/URLs to be Copied

* Publication's Edition, Copyright Date, Printing Number

* What is your deadline for permission approval?

* Course/Presentation/Publication/Web Site for which the excerpt will be used (Include URLs if appropriate)

* How will the excerpt be used (handout, overhead, etc.)?

* If used in a course/training, will there be a charge? If so, who benefits from the fees?

* Will the excerpt be used in a publication for sale? * Yes No

* Number of copies to be made

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Reprint Permission Form