Template:Copyright Permission Request Form Letter

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[edit] The Copyright Permission Request Form Letter

To:{{{1}}}

Email:{{{2}}}


Dear {{{1}}},

I, {{{3}}}, request your permission to reprint the following items (described below) on my Web page:{{{4}}}. I intend to use the copy(s) for the following:


__ Personal use

__ Research

__ Commercial use

__ Reporting __ Criticism or Review

__ Education


Item(s) to be Copied:

Title:____Title of Article or Image____

URL:____URL of Article or Image____

Describe how the copies will be used:

______________________________________

______________________________________


If you do not control the copyright on all of the above mentioned material, I would appreciate any contact information you can give me regarding the proper rights holder(s), including current address(es).

Sincerely,

{{{3}}}


Requestor Information:

Name:____Your Full Name____

URL:____Your Web Page URL____

Email Address:____Your Email Address____

Date:____Today's Date____


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