Aspen Publishers
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Aspen Publishers, Inc.
PERMISSION REQUEST FORM

Normal turn-around time is two (2) weeks (express service may be available).

(Please note: All required fields must be completed.
Incomplete forms will be returned to the requestor.)

Please respond via:
Mail
Fax

Title of Publication: (required)

Title of Article/Chapter: (required)

Author(s)/Editor(s): (required)

Volume/Issue number: (required)

Copyright Year: (required)

Page number(s): (required)

Figure, Exhibit, or Table Number: (as applicable)

Your Intended Use of the Material: (required)

Is this a Photocopy or Reprint Request?
Photocopy
Reprint

For Photocopy Requests
Provide the number of photocopies you wish to make:

For Reprint Requests
Provide the name of your publisher, the working title of your publication
(or title of journal), expected publication date, and anticipated print run:

Requestor's Affiliation: (required)

Requestor's Name: (required)

Requestor's Phone: (required)

Requestor's Fax: (as applicable)

Requestor's Street Address: (required)

Requestor's City, State, and Zip Code: (required)

Requestor's E-mail Address: (required)

Requestor's Country: (required]

Are you the author of the requested material? (required)
Yes  No

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