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Permissions Requests

Permissions Request

Please complete this form if you wish to use extracts from our titles.
Fields marked with a * are REQUIRED and must be completed for the request.

Applicant's Details

Name *

Company *

Address *

Phone Number

Invoicing Address (if different from address)

Email address *

Detail of Work you seek permission to use

Which Title? *

Author *

Publisher *

Length of extract *

How the extract will be used *

Terrortory permission is required for *

Language *

Details of publication the extract will be used in

Type of publication for which extract will be used *

Price of publication

Print Run *

Other notes *

Type of permission sought

Extract

Audio edition for non commercial use

Electronic

CD Rom

Website

Website Address

Musical setting

Dramatisation

Date of performance

Venue

Seating Capacity

Ticket Price