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Permission To Reprint

DATE

TO:

Gentlemen:

I would like permission to reprint part of _________________. Photocopies of the subject pages are attached.

It would become part of one chapter in my latest work, ________________ for ____________________.

I would reference ________________ in the acknowledgments and would place the following notice at the bottom of the first page where the material appears:

If you desire any other type of recognition or wording, please indicate on the attached permission form.

I note you gave similar permission to [Name] of The Writer, Inc. who used the same material in her ________________ book.

I have been serving as an expert witness in ___________________ for almost ____ years. Brochures on my other work are enclosed for your inspection. If you have any questions, feel free to call me.

If you do not control the rights, please let me know whom to contact.

For your convenience, a release form is attached, in duplicate.

Please sign and return one copy to me.

Yours truly,

PUBLISHING CO.