ALA | Reprint Request Form

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American Library Association
Rights and Permissions Request Form

The American Library Association maintains an office of Rights and Permissions whose role is to process all requests for permission to use material published or produced by the Association. All requests should be submitted to the Rights and Permissions Office in writing or by submitting this form electronically.


Name:
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Department:
Address (1):
Address (2):
City:
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Country (if outside USA):
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Date:

RE: Permission Request

I hereby request your permission for the nonexclusive right to reproduce the following material from the American Library Association:

1. Journal/Magazine:
Author(s):
Volume:
Issue:
Issue date:
Pages:
Article title:
2. Book title:
Author(s):
Publication date:
Pages:
3. Other (please specify):
Please indicate the purpose of the material to be reproduced:

If the material will be included in a new publication, please supply the following information:

Title of book or periodical:
Author/Editor’s Name:
Publisher’s Name:
Print Run (Books):
Price of Publication:

Please allow one to two weeks for processing.

Please address questions to:

Mary Jo Bolduc
Rights and Permissions
American Library Association
50 E. Huron Street
Chicago, Illinois 60611
Telephone: 312 280-5416
Fax: 312 280-5275

AMERICAN LIBRARY ASSOCIATION

50 E. Huron Chicago, IL 60611 Call Us Toll Free 1-800-545-2433

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American Library AssociationRights and Permissions Request Form

American Library Association
Rights and Permissions Request Form