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Permissions Request Form — Greystone Books
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Email
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Your email
Full Name
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Company
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Address
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Email
*
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Title Requested
*
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Content Type
*
Text
Image
Text + Image
Page(s) on which this excerpt appears
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Word count
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Project Type
*
Book/Textbook
Educational/Classroom
Magazine/Journal/Blog
Theatrical/Dramatic
Audio/Broadcast
Other
Project Details
*
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Number of Uses (print run, quantity, users, performances)
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Formats
*
Print
Electronic
Print + Electronic
Audio
Other:
Territory of Distribution
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Language
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Retail Price
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Project Deadline
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DD
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YYYY
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