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Sample Permissions Letter

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

Nancy Davisson
Nursing Department
Olney Central College
305 N. West St.
Olney, IL 62450

Ian Murray
Firefly Books
Tonawanda Commerce Center
Tonawanda, NY
USA 14207

Dear Mr. Murray:

I am writing to ask your permission to scan the book, Love You Forever by Robert N. Munsch and Sheila McGraw so I can convert the book to a PowerPoint presentation. I would like to conclude my unit on growth and development during this fall semester by showing a PowerPoint presentation of this book to emphasize particular concepts and give students another way to view the stages of development. There are approximately 30 students in this class, but I would like to use the PowerPoint presentation each year when I teach the growth and development unit.

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 davissonn@iecc.edu 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.

Sincerely,

 

Nancy Davisson
OCC Nursing Instructor

 

Please initial applicable statements that apply:

I have the authority to grant permission request herein.

I am the sole owner/author of the named work.

Permission is granted for the use of the material as described above.
Company:

Name of authorized signatory:

Title:

Date:


Sample permission letter formats are available at http://www.utsystem.edu/ogc/intellectualproperty/permmm.htm
and in
Crews, Kenneth D. Copyright Law for Librarians and Educators: Creative Strategies and Practical Solutions. Chicago: American Library Association, 2006, page 127.