Copyright Resource Center Permissions Request Form

 

This request will formally submit your copyright permissions order (up to 5 books/articles) directly to the Copyright Resource Center. Upon completion of the form please click on the submit button at the bottom of the form. Thank you in advance for your order.

Semester: Instructor:
Department: Phone Number:
Course#: E-Mail:
Section#:
Enrollment:
 

Permissions will be requested for ONE-SEMESTER at a time:  

(the items with an asterisk have to be filled in to obtain permission)

AUTHOR 1
*Author:
*Title:
Chapter/Article:
*Copyright/Publication Year (4 digits): Volume: Edition:
*From Page #: *To Page #: ISBN #:
 

AUTHOR 2
*Author:
*Title:
Chapter/Article:
*Copyright/Publication Year (4 digits): Volume: Edition:
*From Page #: *To Page #: ISBN #:
 

AUTHOR 3
*Author:
*Title:
Chapter/Article:
*Copyright/Publication Year (4 digits): Volume: Edition:
*From Page #: *To Page #: ISBN #:
 

AUTHOR 4
*Author:
*Title:
Chapter/Article:
*Copyright/Publication Year (4 digits):

Volume:

 Edition:
*From Page #:

*To Page #:

 ISBN #:
 

AUTHOR 5
*Author:
*Title:
Chapter/Article:
*Copyright/Publication Year (4 digits): Volume: Edition:
*From Page #: *To Page #: ISBN #: