All rights and permissions inquiries should be addressed to: email@example.com.
Be sure to include your contact information. Allow at least two weeks for a response.
Please provide the information specified below.
About the content handled by the agency
→Title and author
→Year of publication
→Intended excerpt, specifying page range, word count, and/or photographs, charts, etc.
About the work you intend to create
→Title, author/editor, publisher, expected season of publication
→Projected list price
→Initial quantity and projected lifetime units (print or other copies) of planned edition
→Rights requested (e.g. reprint, audio, anthology, first or second serial); please indicate type of media (e.g. print/digital, audio, hardcover/paperback, e-book/database)
→Territory and term of license
Clearly indicate any proposed changes to the text.
For course use (including coursepacks), please complete the following as fully as possible
→School and department
→Cost of coursepack to students (if not free)
→Format (print or electronic); if distributed online, will materials be password-protected?