Copyright Permission Request Form
Review copyright permission guidelines
*Required field
*Name:  
Company name:
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*Address:  
*City:  
*State:  
*Zip code:  
 
*Phone number:  
xxx-xxx-xxxx
 
 
Fax number:
*Email address:  
 
Please check the item(s) you wish to reprint. Check all that apply.
Number of photographs:
Article headline:
Writer's name:
Photograph description:
Photographer's name:
*Publication date:       
*Page number:  
Include additional information here (please state in detail how item will be used and where it will be distributed).
Please check all that apply:
Number of copies:
URL  
Note:  URL must include http://
Number of copies: