Permissions

For permission to reprint portions of our clients' work on a non-exclusive basis, please fill out the form below in its entirety.

Please fill out one request per author.

Requesting Party Name

First Name

Last Name

Requesting Party Email Address

Requesting Party Phone

(###)

###

####

Author's Name

Title of Work

Selection of the Work to be Used

Please include any chapter headings or other identifying information.

Territories in Which You Request Rights

Please list all territories in which you wish to reprint the selection of the Work.

Title of Publication in Which the Selection Will Appear

Publisher of the Publication in Which the Selection Will Appear

Language

Publication Date

YYYY

Print Run

Please estimate the print run of the publication in which the work will appear.

Price

Per copy in USD

Term or Approximate Life of the Edition

How long would you like to hold permission rights?

Formats Requested

Example: e-book; printed paperback; etc.

Performance or Adaptation Rights?

If you are requesting performance or adaptation rights, please explain your project more fully here.

Other Vital Information