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Copyright Assistance
 
Copyright Permission Request Forms - Book Excerpts
Instructions for Filling in Copyright Request Forms for Course Pack Material/Classroom Handouts

Be sure you have submitted a Requestor Information Form for each course pack or multimedia project before submitting individual copyright permission forms.
Request Copyright Permission - Book Excerpt
Note: Form field lengths allow more characters than shown; just continue typing. Click the "Submit Request" button after you in fill the form.
Instructor:
Course #:
Title of book:
Author(s)/editor(s) [please include first and last name(s)]:
Chapter title:
Chapter author(s) [please include first and last name(s)]:
Year/edition:
Pages:
Publisher:
ISBN:
If this selection is excerpted from an anthology, provide title of anthology and year:
If material is taken from a web site, provide complete web site name and address:
If you would like a copy of this form, provide your complete e-mail address:
    

 

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