Permissions Form
Shared by: HC12091406368
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- posted:
- 9/13/2012
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Document Sample


McG Productions Ltd
Permissions Form
One form per author
Step One: Applicant details
Name of applicant* Click here to enter name
Company Click here to enter company name
Address of applicant* Click here to enter address
Email address* Click here to enter email address
Step Two: Details of the work you seek permission to use
Author* Click here to enter name
Title of work* Click here to enter title
ISBN Click here to enter ISBN
Number of words Click here to enter number of words
If poetry: Click here to enter title of poem
Title of poem
Number of lines Click here to enter number of lines
If illustration: Click here to enter number of images
Number of images
Language (if not Click here to enter language (Default English)
English)
Step Three: Details of the proposed work in which the extract is to be
used
Author* Click here to enter name
Title of work* Click here to enter title
Publisher* Click here to enter publisher
Publication date* Click here to enter publication date
Territory required* Click here to enter territory
Print run* Click here to enter print run
Price* Click here to enter price
If non-print work, select Physical audio (e.g. CD) for commercial use
appropriate format
Physical audio (e.g. CD) for non-commercial use
Digital audio (e.g. download, streaming) for commercial
use
Digital audio (e.g. download, streaming) for non-
commercial use
Photocopying
Braille/Moon
CD ROM/DVD ROM
Online
Specify website Click to enter website name or address
Other electronic
Musical setting
Performance
Prop in television/film production
McG Productions Ltd
Additional Notes
Please add any additional information relevant to the application
Click to enter additional notes
Completed forms should be sent by email to
permissions@mcgproductionsltd.co.uk
We will endeavour to process your request within 4 weeks.
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