Sample Copyright Permission Letter

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					                    Sample Copyright Permission Letter


Materials Permission Department
Triple X Publications
4896 305th St.
New, York, NY, 99999

Dear Sir or Madam:

I would like to request permission to copy the following material in order to place it
on reserve for my students to use in the library:

Title (Book or Article):


Author:


Journal Title, Issue, Year, Pages:


Copyright Holder:


Material to be duplicated (photocopy enclosed):


Number of copies to be duplicated:                 Anticipated date of first use:


Distribution:   The copies will be placed on reserve in the library to be checked out by my
students.

Type of reprint:   Photocopy

Use:   To be used as supplementary teaching materials

I have enclosed a self-addressed envelope for you convenience in replying to this request.

Sincerely,

				
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posted:6/6/2012
language:English
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