Permission Request Form

Complete this form to request permission to reprint, publish, or copy material copyrighted by PPI. If you are requesting numerous items, you may list them all in the Description field below. (Fields with a * are required.)

Your Name*:
Email Address*:

Please provide your email address, so we can contact you if further clarification is needed.
Company or University*:

Class (if applicable):

Dates of use*:

Book Title*:
Edition Number*:

If no edition number is given on the front cover or copyright page, then the book is a first edition.
Printing Number*:

The printing number is located near the bottom of the copyright page, which backs the title page.
Page Number(s)*:
Description*:

To help us process your request, please identify all material you are requesting permission for and describe how it will be used.

Privacy Statement: PPI guarantees that we will not sell or provide your email address to anyone else for any reason, period.

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