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    Template:Copyright Permission Request Form Letter

    The Copyright Permission Request Form Letter[edit]

    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____


    [1]

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