[DATE]
Re:
Permission to Use Copyrighted Material
Dear [NAME OF COPYRIGHT OWNER]: We are contacting you because you are the author of [COPYRIGHTED WORK] and we would like to [REPRINT/ USE] the [ARTICLE, WORK, ETC.]. We are in the business of [TYPE OF BUSINESS]. We plan to limit our use of your material to [WHAT LIMITED TO]. We will not use it in any other way. We respectfully request your support as the copyright holder to allow us the right to use the [ARTICLE, WORK, ETC.] free of charge in the manner described herein. If this is acceptable, you can simply sign and return to us a copy of this letter. Thank you for your consideration and your time. Sincerely,
[SIGNATURE] [NAME] [TITLE]
Permission is Hereby Granted Pursuant To the Terms and Conditions of this Letter
[COPYRIGHT OWNER] By: Title: