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Permission Request Form
Name
*
Organization
Email address
*
What images would you like to use?
*
(Please give either (1) the URL where they appear or (2) their name, e.g.,
"Colored Apollonian Disks"
.)
I would like to include image(s) on a printed or electronic document.
What is the purpose of the document?
Do you plan to sell it?
Yes
No
How many copies do you plan to print/distribute?
Will you use image(s) on subsequent editions or versions?
Yes
No
I would like to include image(s) on a website.
What is its URL?
What is the purpose of the website?
Do you plan to sell products on (or access to) the website?
Yes
No
How many visitors per month to your website do you anticipate?
Please describe the way in which the image will be used in the document/site (
the more information you give us, the more easily we can make a determination about your request
)?
*
Other comments/questions:
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