The Copyright Permission Request Form Letter

To:            Anthony Buccino
Email:        Email Copyright Permission

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 of Article or Image____
URL of Article or Image____
 

Describe how the copies will be used:
_____________________________________________________________
______________________________________

Requestor Information
Name: ______
Company Name: ________
Your Web Page URL____
Your Email Address____
Your Phone Number____
Today's Date____

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