Template:Copyright Permission Request Form Letter

The Copyright Permission Request Form Letter

To:____Owner's Name____

Email:____Owner's Email Address____

I, ____Your Name____, request your permission to reprint the following items (described below) on my Web page:________Your URL________. 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:

______________________________________

______________________________________

Requestor Information

Name:____Your Full Name____

URL:____Your Web Page URL____

Email Address:____Your Email Address____

Date:____Today's Date____



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