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Permission Request Form

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Please fill out all of the fields below that apply to your request. To ensure your request is processed without delay, please give complete and accurate responses. Note that fields with an asterisk (*) after the heading are mandatory fields.

INFORMATION ABOUT THE UNC PRESS MATERIAL YOU WISH TO REPRODUCE
Author/Editor*
Title*
FOR JOURNALS ONLY: Volume, Issue, and Publication Year
FOR JOURNALS ONLY: Article Title
Exact page numbers of UNC Press publication reproduced*
Does this content include a Map, Table, or Other Figure? (Yes / No)*
If you are requesting material from more than one UNC Press Publication, please include all of the information for each additional title here.
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INFORMATION ABOUT YOUR FORTHCOMING PUBLICATION
Author/Editor*
Title*
Publisher*
Publisher Staff Contact*
Staff Contact's Email*
Permission Reference Number
Requestor's Name*
Requestor's Email*
Requestor's Role (Author, Publisher, Freelance Permission Editor)*
Expected Publication Date
Territory Rights (World, North American, etc.)*
Language Rights (English, Spanish, Chinese, etc.)*
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CLOTH FORMAT QUESTIONS
Will a cloth format be sold separately? (Yes / No)*
Expected Lifetime Sales
Anticipated Price
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PAPER FORMAT QUESTIONS
Will a paper format be sold separately? (Yes / No)*
Expected Lifetime Sales
Anticipated Price
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EBOOK FORMAT QUESTIONS
Do you request inclusion of this content in ebook format? (Yes / No)*
Will the ebook be sold separately?
Expected Lifetime Sales
Anticipated Price
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DATABASE INFORMATION
Do you request inclusion of this content in a database? (Yes / No)*
If YES, please answer the following questions
Database Name
How is access granted? (IP Address Verification, Password/Login, etc.)
Is downloading permitted?
Is printing permitted?
Is emailing permitted?
Would our content be disaggregated?
What percentage of the database would be comprised of our content?
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Additional Comments
If this material will be used in any digital formats not previously described, please explain below.
Special Considerations
Invoice Contact Information
To whom should the invoice be addressed?
Name*
FirstLast
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Permission Request for Use of UNC Press Materials

Permission Request Form

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INFORMATION ABOUT THE UNC PRESS MATERIAL YOU WISH TO REPRODUCE

________________________________________________

INFORMATION ABOUT YOUR FORTHCOMING PUBLICATION

________________________________________________

CLOTH FORMAT QUESTIONS

________________________________________________

PAPER FORMAT QUESTIONS

________________________________________________

EBOOK FORMAT QUESTIONS

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DATABASE INFORMATION

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Additional Comments

Invoice Contact Information