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Request To Reprint Copyrighted Material
REQUEST TO REPRINT COPYRIGHTED MATERIAL BY NONPROFIT ORGANIZATION
To: [name of copyright holder]
[address of copyright holder]
Re: [material to be reprinted]
We [Name of organization], are preparing materials for the purpose of teaching [subject of teaching]. The previously mentioned materials will be used for/in , and will be produced in [number of volumes] volumes. In all, we would like to distribute approximately copies. The final product will be distributed without profit Following the above stated guidelines, we request your permission to reprint the following material: [Description of material].
In addition, we will include a credit line in the reproduction which states the following:[description of credit line] This material was reprinted from [name of original publication], with permission from [copyright owner]. Copyright � [year of copyright].
Date: Signature: [organization official]
With the signing of this document permission is hereby granted to [name of non-profit organization] to reprint the previously mentioned copyrighted material.
Date: Signature: [copyright owner]