JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Copyrighted Materials Permissions Request Form
Use this form to expedite requests for permission to reuse copyrighted materials.
Reuse/distribution of content for many PCA publications can be purchased directly from the Copyright Clearance Center Marketplace:
https://marketplace.copyright.com/rs-ui-web/mp/search/publisher/portland%20cement%20association
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Contact Phone Number
*
Your answer
Contact Name (First and Last Name)
*
Your answer
Company or Institution
*
Your answer
Please provide the citation for the work you are seeking permission. Please include as much information as possible: first author, title, journal title, year and any identifying numbers (SN, EB, etc.):
*
Your answer
What specifically within the above work do you want to reuse? Please include page number(s) and/or figure/table/graph number from the originally published work (not the work you will be reusing in), etc.
*
Your answer
NOTE: You must send a copy of the figure or image to
lverma@cement.org
after submitting your request. Thank you!
What format will you reuse the material? (Mark all that apply)
*
Electronic
Print
Other:
Required
How many copies will be sold/distributed? (provide best estimate)
*
Your answer
What is your timeframe or deadline?
*
Your answer
Please provide the citation for the work in which the content will be published. Please include as much information as possible: author, title, journal title, year and/or any identifying numbers (ISBN, etc):
*
Your answer
Any other specific comments/concerns about the request?
Your answer
FOR PCA STAFF REQUESTS ONLY:
Please provide the following additional information
Do you need a high resolution copy? (If yes, please specify dpi and/or pixel dimensions in "Other" or any other specifications - file format, etc.)
Yes
No
Other:
Do you have cost considerations for this request? (If yes, please specify maximum cost)
Yes
No
Other:
REMINDER: You must send a copy of the figure or image to
lverma@cement.org
after submitting your request. Thank you!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms