Sample Copyright Permission Letter

Educational Institution                                       Address                                                                                 

Date

Copyright and Permissions Department
Name of Publisher  (Example:  Pine Forge Press)
Street Address  (Example:  2455 Teller Road)
City, State   Zip (Example:  Thousand Oaks, CA   91320)

To Whom It May Concern:

I am requesting permission to copy the following material for continued use in my classes in future semesters:

Title of Book and Edition  (Example:  Second thoughts:  seeing conventional wisdom through the sociological eye, 2nd edition)

Copyright:  Publishing Company  Date   (Example:  Pine Forge Press, 2000) 

Author:  (Example:  Janet M. Ruane)

Material to be copied:  (Example:  Chapter 17)

Pages:  (Example:  135-150) 

Number of copies:  (Example:  25)

Distribution:  This copy will be distributed to students in my classes and they will pay only for the cost of photocopying.

Type of reprint:  (Example:  Photocopy)

Use:  The chapter will supplement teaching materials.

I have enclosed a copy of the copyright page to assist you in evaluating my request.  Please inform me if there are any fees for this copyright permission.

I have enclosed a self-addressed envelope for your convenience in responding to my request.  

Sincerely,

Name
Phone number
Email address
Fax number

If you have further questions regarding copyright please contact Susan Paul at Ext. 7422 or copyright@lorainccc.edu.