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|Send your request with two copies of the request and a self-addressed return envelope to the publisher, author, or other copyright holder(s).|
October 26, 2005
If you do not solely control copyright for the requested material, I would appreciate any contact information, including current addresses, you could give me regarding rights' holder(s).
I would appreciate your consent to my request and would be glad to supply you with any additional information you require. Please feel free to contact me via email at email@example.com or by phone at (618)395-7777.
I am including a duplicate copy for your records. If you agree with my request as described above, please sign the permission form below and return one copy in the self-addressed envelope I have provided.
initial applicable statements that apply:
is granted for the use of the material as described above.
permission letter formats are available at http://www.utsystem.edu/ogc/intellectualproperty/permmm.htm